| Regimental number | 200 |
| Place of birth | Christchurch, New Zealand |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Wellington, New Zealand |
| Marital status | Single |
| Age at embarkation | 21 |
| Height | 5' 11.75" |
| Weight | 142 lbs |
| Next of kin | Sister, Mrs Emmie Wood, Wellington, New Zealand |
| Enlistment date | |
| Place of enlistment | Liverpool, New South Wales |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/17/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | a PROV C |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *Second enty both matched |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
