
| Regimental number | 580 |
| Place of birth | Ulverstone Tasmania |
| Religion | Church of England |
| Occupation | Farm labourer |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mrs. J. Maxwell, Spalford, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/14/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A52 Surada on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 119 Date: |