| Regimental number | 1697 |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Forrest, via Stanley, Tasmania |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs. Maud Mary Carroll, Forrest, via Stanley, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/8/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic 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
