| Regimental number | 781 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Miss Jeffries, Apollo Bay, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 3rd Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A13 Katuna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
