| Regimental number | 1781 |
| Place of birth | Adelaide South Australia |
| Religion | Presbyterian |
| Occupation | Clerk |
| Address | Wentworth, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Mrs. H.E. Jolly, Wentworth, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 3rd Echelon |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
