| Regimental number | 2569 |
| Place of birth | Ballarat Victoria |
| Religion | Presbyterian |
| Occupation | Groom |
| Address | 22 Primrose Street, Moonee Ponds, Victoria |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Sister, Mrs Maud Robertson, 22 Primrose Street, Moonee Ponds, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Australian Remount Unit 1, Reinforcement 3 |
| AWM Embarkation Roll number | 28/2/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Remount Unit |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
