| Regimental number | 1030 |
| Place of birth | Port Pirie South Australia |
| Religion | Methodist |
| Occupation | Stockman |
| Address | Cleave Street, Port Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Uncle, H.J. Martin, Cleave Street, Port Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/8/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on |
| Regimental number from Nominal Roll | 1030A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
