| Regimental number | 1010 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Mrs T Davern, Ormley, Tasmania |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs T Davern, Ormley, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/6/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A65 Clan McEwen on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
