| Regimental number | 969 |
| Religion | Methodist |
| Occupation | Gardener |
| Address | Mrs. R. Carlson, Mount Barker, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Friend, Raymond J. Stead, Tintinara, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 5th Reinforcement |
| AWM Embarkation Roll number | 10/8/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A59 Botanist 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
