| Regimental number | 222 |
| Place of birth | Ballina New South Wales |
| Religion | Church of England |
| Occupation | Railway employee |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Miss Ida Beaver, Jones Street, Highgate Hill, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/7/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A15 Star of England 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
