| Regimental number | 3904 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Telegraphist |
| Address | Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Sister, Mrs Maud Harrison, 22 Villier Street, Elsternwick, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 30th Reinforcement |
| AWM Embarkation Roll number | 10/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Corps Signal Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
