| Regimental number | 3506 |
| Place of birth | Batemans Bay New South Wales |
| Religion | Roman Catholic |
| Occupation | Fireman |
| Address | Criterion Hotel, Cairns, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister-in-Law, Mrs E Foreman, Pandamus Creek via Kirk River, Ravenswood, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 30th Reinforcement |
| AWM Embarkation Roll number | 10/10/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
