| Regimental number | 211 |
| Place of birth | Grafton, New South Wales |
| Religion | Church of England |
| Occupation | Marine captain |
| Address | Union Steam Ship Company, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Elsie Campbell, Vauxhall Road, Devonport, Auckland, New Zealand |
| Enlistment date | |
| Place of enlistment | Holsworthy, 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 | Sergeant |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
