| Regimental number | 1172 |
| Place of birth | Coonamble New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | 32 Cross Street, Double Bay, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Fanny Medley, 32 Cross Street, Double Bay, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/17/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Divisional Ammunition Column |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
