| Regimental number | 2936 |
| Religion | Roman Catholic |
| Occupation | Jockey |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Mrs Ellen Buckle, Ireland Street, West Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 21st Reinforcement |
| AWM Embarkation Roll number | 10/10/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A58 Kabinga 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
