| Regimental number | 2211 |
| Place of birth | Dubbo New South Wales |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | 22 Victoria Street, Alexandria, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Elizabeth Merrell, same address |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/12/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Signal Squadron |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
