| Regimental number | 4 |
| Place of birth | Emmaville New South Wales |
| Religion | Church of England |
| Occupation | Dairy inspector |
| Address | Hawkesbury College, Richmond, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | A McGillivray, The Britton, Emmaville, Richmond, New South Wales |
| Enlistment date | |
| Rank on enlistment | Lance Corporal |
| Unit name | 1st Light Horse Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/39/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A27 Southern on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 6th Light Horse |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
