| Regimental number | 1217 |
| Place of birth | Donald, Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Portland, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Charles E Cannard, Sea Lake PO, Sea Lake, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/18/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Regimental number from Nominal Roll | 1217A |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 22nd Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 119 Date: |