
| Regimental number | 1072 |
| Occupation | Engine driver |
| Address | 56 The Avenue, Windsor, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mrs L. Morris, 56 The Avenue, Windsor, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |