| Regimental number | 1107 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | Boulder Road, Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Mother, Mrs Susanna Martin, Boulder Road, Kalgoorlie, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 7th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
