| Regimental number | 1264 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Groom |
| Address | Woollahra, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 48 |
| Next of kin | Wife, Mrs Anna Ruth Clare, 30 Spicer Street, Woollahra, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | TPR |
| Unit name | Australian Remount Unit 2, Squadron 5 |
| AWM Embarkation Roll number | 28/3/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
