| Regimental number | 4136 |
| Place of birth | Corack, Victoria |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Moombooldool PO, Moombooldool, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Mrs Alice Spackman, Cuballing, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Light Horse Regiment, 33rd Reinforcement |
| AWM Embarkation Roll number | 10/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment Details |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
