| Regimental number | 2603 |
| Place of birth | Wales England |
| Religion | Church of England |
| Occupation | Painter |
| Address | Tottingham Street, Parramatta, New South Wales |
| Marital status | Married |
| Age at embarkation | 46 |
| Next of kin | Wife, Mrs Maud Lavender Vernon, c/o Mrs Grant, Rose Hill Street, Parramatta, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Remount Unit 2, Reinforcement 3 |
| AWM Embarkation Roll number | 28/3/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Osterley on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Remount Unit |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
