| Regimental number | 573 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Union Club, Sydney |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs. J.K. Rose, c/o Queensland National Bank, London |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/11/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Forty-One on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 6th Light Horse Regiment |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
