| Regimental number | 2099 |
| Place of birth | Hillsville Victoria |
| Religion | Roman Catholic |
| Occupation | Grocer |
| Address | Burwood Hotel, Burwood, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Elizabeth Tevlin, Burwood Hotel, Burwood, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/12/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A57 Malakuta on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 4th Motor Transport Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
