| Regimental number | 2010 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Hughenden, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Mrs Edith Northwood, South Townsville, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/16/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A65 Clan Macewan on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
