| Regimental number | 2205 |
| Place of birth | Cohuna Victoria |
| Religion | Congregational |
| Occupation | Farmer |
| Address | McMillans PO, via Marcona, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Julia Anee Randall, McMillans PO, via Marcona, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/9/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A13 Katuna on |