
| Regimental number | 803 |
| Religion | Church of England |
| Occupation | Planter |
| Address | 72B King Street, c/o Maylata Co., Sydney |
| Marital status | Single |
| Age at embarkation | 28 |
| Enlistment date | |
| Rank on enlistment | SIG |
| Unit name | 7th Light Horse Regiment, 3rd Reinforcement |
| AWM Embarkation Roll number | 10/12/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A1 Hymettus on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |