| Regimental number | 557 |
| Place of birth | Avenel Canada |
| Religion | Wesleyan Methodist |
| Occupation | Labourer |
| Address | Care or Miss Kellam, Diggora, Rochester, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Emma Mouritz, care opf Miss Kellam, Diggora, Rochester, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 2nd Reinforcement |
| AWM Embarkation Roll number | 10/10/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A44 Vestalia on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Recommendations (Medals and Awards) |
Unspecified Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 120 Date: |
| Other details | Medals: Military Medal, 1914-15 Star, British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
