| Regimental number | 1719 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 79 York Street, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Mabel Alberta Dean, 337 Eleventh Avenue, Calgary, Alberta, Canada |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/6/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | Camel Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
