| Regimental number | 3479 |
| Place of birth | Yalgoo Western Australia |
| Religion | Church of England |
| Occupation | Shearer |
| Address | 5 Simpson Street, West Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Ivy Church Mark, 5 Simpson Street, West Perth, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 30th Reinforcement |
| AWM Embarkation Roll number | 10/15/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Machine Gun Squadron |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
