| Regimental number | 964 |
| Place of birth | N/A: POE N/A |
| Religion | Church of England |
| Occupation | Butcher |
| Address | 15A Oxford Street, City, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Mrs Josephine Sidwell, Culcairn, New South Wales |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 3rd Reinforcement |
| AWM Embarkation Roll number | 10/17/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Warrant Officer (Class II) |
| Unit from Nominal Roll | 1st ACTC |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
