| Regimental number | 1109 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | North Ylogagrin, West Wyalong |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mary Jane Quinn, North Ylogagrin, West Wyalong |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 7th Reinforcement |
| AWM Embarkation Roll number | 10/11/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A51 Chilka on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Date of death | |
| Place of burial | Temora Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
