| Regimental number | 499 |
| Place of birth | Adelaide, South Australia |
| Religion | Methodist |
| Occupation | Gardner |
| Address | c/o W. Edwards, Roberts Town, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs. Sef. Clisby, c/o W Edwards, Roberts Town, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/14/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
