| Regimental number | 800 |
| Religion | Church of England |
| Occupation | Tanner |
| Address | 8 Adelaide Street, Woollahra, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mrs E L Roberts, 8 Adelaide Street, Woollahra, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 3rd Reinforcement |
| AWM Embarkation Roll number | 10/6/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A6 Clan Mccorquodale on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
