| Regimental number | 877 |
| Place of birth | Red Hill South Australia |
| Religion | Church of England |
| Occupation | Bushman |
| Address | Willis Street, Cottesloe, Western Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Friend, Mrs. Sampson, 290 Unley Road, Unley South, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 4th Reinforcement |
| AWM Embarkation Roll number | 10/8/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
