| Regimental number | 802 |
| Place of birth | Ultimo New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 2 Alexander Street, Manly, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs. Caroline Mayes, 2 Alexander Street, Manly, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 3rd Reinforcement |
| AWM Embarkation Roll number | 10/11/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A6 Clan Mccorquodale on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
