| Regimental number | 2029 |
| Religion | Church of England |
| Occupation | Farmer |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Emily Sansom, Yelverton, Devon, England |
| Enlistment date | 25 January 1916 |
| Date of enlistment from Nominal Roll | 22 January 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/18/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Regimental number from Nominal Roll | Comissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 59th Battalion |
| Fate | No details enetered on Nominal |