| Regimental number | 2961 |
| Place of birth | Portland United States Of America |
| Religion | Presbyterian |
| Occupation | Farmer |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Grace Marion Stormont, Silvan PO, Victoria |
| Enlistment date | 27 May 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 21st Reinforcement |
| AWM Embarkation Roll number | 10/9/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A6 Clan Maccorquodale on 19 September 1916 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 29 September 1916 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A1 Hymettus on 12 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
