| Regimental number | 2635 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Engine cleaner |
| Address | C/o Mrs Hicks, Belmont Street, Junee, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Friend, Mrs Julia Matthey, Maude via Geelong, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/17/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
