| Regimental number | 250 |
| Religion | Church of England |
| Occupation | Carter |
| Address | Vermont, Kyron, via Cootamundra, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | R J Deller, Larnier Street, Warrandera, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/6/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star Of Victoria on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 15th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
