| Regimental number | 200 |
| Place of birth | Mirani, Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Gargett PO, Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Height | 5' 6.5" |
| Weight | 147 lbs |
| Next of kin | Albert Edward Penny, Gargett PO, Mackay, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Mackay, Queensland |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/16/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A7 Medic on |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
