| Regimental number | 2643 |
| Place of birth | Cooke Plains South Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Cooke's Plains, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs. Emeline Norman, Cooke's Plains, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 18th Reinforcement |
| AWM Embarkation Roll number | 10/8/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A13 Katuna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Squadron Australian Flying Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
