| Regimental number | 509 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Station Hand |
| Address | Gulargambone, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs L.C. Prentice, Hingham, Dalhousie Street, Aberfield, Sydney, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/6/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star of Victoria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
