| Regimental number | 1022 |
| Place of birth | Manchester England |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Killeen, Longwood, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Eliz. Lane, c/o Mrs C Iscop, Swinton Park Cottages, Swinton, near Birmingham, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, 4th Reinforcement |
| AWM Embarkation Roll number | 10/18/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Motor Transport Section |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
