| Regimental number | 747 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Bell Street, Railway Town, Broken Hill, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs. Campbell, Bell Street, Railway Town, Broken Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 3rd Reinforcement |
| AWM Embarkation Roll number | 10/14/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A4 Pera on |
| Fate | No details of fate entered on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
