| Regimental number | 164 |
| Place of birth | Mount Gambier South Australia |
| Religion | Church of England |
| Occupation | Builder's labourer |
| Address | Bacon Street, Hindmarsh, South Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs. Lillian Mary Matthews, Bacon Street, Hindmarsh, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/8/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Trooper |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
