| Regimental number | 1850 |
| Place of birth | Nagambie Victoria |
| Religion | Church of England |
| Occupation | Painter |
| Address | 41 Lawler Street, Subiaco, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | J J Mouritz, 'Mervyn House', Beach Road, South Bunbury, Western Australia |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 3, Battery 8 |
| AWM Embarkation Roll number | 13/31/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A7 Medic on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
