| Regimental number | 1521 |
| Place of birth | Sevenoaks England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Dismal Swamp, Mount Gambier, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs. Annie Carey, 112 High Street, Seven Oaks, Kent, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/14/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
