| Regimental number | 4005 |
| Place of birth | Horsham Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Quantong, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Mrs W Mitchell, Quantong, West horsham, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 31st Reinforcement |
| AWM Embarkation Roll number | 10/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Ormonde on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
