| Regimental number | 219 |
| Place of birth | Perth Western Australia |
| Religion | Church of England |
| Occupation | Horse breaker |
| Address | Amy Street, Spring Hill, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs G Vander Warden, 27 Amy Street, Spring Hill, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/16/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A7 Medic on |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A30 Borda 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
