| Regimental number | 2003 |
| Place of birth | Copperfiled Queensland |
| Religion | Roman Catholic |
| Occupation | Stockman |
| Address | Copperfield, Clermont, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Aunt, Mrs Clara Peacock, Ingham, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/10/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Squadron |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
