| Regimental number | 2225 |
| Place of birth | Norfolk England |
| Religion | Congregational |
| Occupation | Gardiner |
| Address | Turner Street, East Malvern, Victoria |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Mother, Mrs Emma Norman, Turner Street, East Malvern, Victoria |
| Enlistment date | 2 November 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/12/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 4 May 1917 |