| Regimental number | 376 |
| Place of birth | Bega New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Bega, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, F Bland, Bega, New South Wales |
| Enlistment date | 1 September 1914 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/6/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star Of Victoria on 20 October 1914 |
| Miscellaneous details (Nominal Roll) | see page 3165 |
