| Regimental number | 12 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Student |
| Address | 'The Oaks', Park Street, South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | A N Mitchell, Ozone Hotel, Queenscliff, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, Headquarters |
| AWM Embarkation Roll number | 10/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A18 Wiltshire on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
