| Regimental number | 878 |
| Place of birth | Emmaville New South Wales |
| Religion | Church of England |
| Occupation | Bushman |
| Address | Bismuth, via Deepwater, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, Bismuth, via Deepwater, New South Wales |
| 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 | 33rd Battalion |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
