| Regimental number | 1056 |
| Place of birth | Beaufort, Victoria |
| Religion | Presbyterian |
| Occupation | Bank officer |
| Address | Illowa, via Warrnambool, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mrs R. E. Etherton, Illowa, via Warrnambool, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
