| Place of birth | London England |
| Religion | Church of England |
| Occupation | Fire brigade superintendent |
| Address | c/o Proprietary Mine, Broken Hill, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs. Amalie Mossop, c/o Proprietary Mine, Broken Hill, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 3rd Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/8/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Special Service |
| Fate | Effective abroad (still overseas) |
| Date of death |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
