| Regimental number | 2407 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Mrs Linda, Musgrove Road, Redhill, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Edith Shaw, c/o Mrs Linda, Musgrove Road, Redhill, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 16th Reinforcement |
| AWM Embarkation Roll number | 10/15/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A52 Surada on |
| Regimental number from Nominal Roll | 1919 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | Army Provost Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
