| Regimental number | 504 |
| Place of birth | Mitiamo Victoria |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Terrick South, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Whitfield, Terrick South, via Mitiamo, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A18 Wiltshire on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
