| Regimental number | 1790 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Mrs. Amelia Sofia Norris, Fryer's Town, near Castlemaine |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs. Amelia Sofia Norris, Fryer's Town, near Castlemaine |
| Enlistment date | 8 July 1915 |
| Date of enlistment from Nominal Roll | 6 July 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/14/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 11 January 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Fate | Returned to Australia 6 September 1919 |
