| Regimental number | 96 |
| Place of birth | Auckland, New Zealand |
| Religion | Methodist |
| Occupation | Constable |
| Address | Police Barracks, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mrs. Annie Anderson, Palmerston Road, Birkenhead, Auckland, New Zealand |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Driver |
| Unit name | 3rd Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/8/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Mounted Division Train |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
