| Regimental number | 1641 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mrs S. Storer, 4 Union Place, Stepney Green, London, England |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs S. Storer, 4 Union Place, Stepney Green, London, England |
| Enlistment date | 28 July 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 27 April 1919 |
| Date of death | 25 December 1961 |
| Place of burial | Frankston Cemetery |
