| Regimental number | 650 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Shearer |
| Address | Surrey Hills, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Secretary, Tambo Hospital, Tambo, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/12/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
