| Regimental number | 12 |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Carrajung, Gippsland, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mrs H. Tangier, Carrajung, Gippsland, Victoria |
| Enlistment date | |
| Rank on enlistment | SIG |
| Unit name | 7th Light Horse Regiment, Headquarters |
| AWM Embarkation Roll number | 10/12/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
