| Regimental number | 876 |
| Place of birth | Epsom England |
| Religion | Church of England |
| Occupation | Station hand |
| Address | c/o Mrs Eliza Dickenson, White Horse Hotel, Epsom, Surrey, England |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Eliza Dickenson, White Horse Hotel, Epsom, Surrey, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 4th Reinforcement |
| AWM Embarkation Roll number | 10/14/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
