| Regimental number | 1011 |
| Place of birth | Armidale New South Wales |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | c/o Ada Deiderick, Ashfield, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Ada Deiderick, Ashfield, Sydney, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| 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 | 1st Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
