| Regimental number | 1556 |
| Place of birth | Campbelltown New South Wales |
| Religion | Church of England |
| Occupation | Grocers assistant |
| Address | Railway Street, Wentworthville, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Ida Louisa Samll, Railway Street, Wentworthville, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/17/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Moldavia on |
| Rank from Nominal Roll | Corporal |
| 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
