| Regimental number | 665 |
| Place of birth | Norwich Norfolk |
| Religion | Church of England |
| Occupation | Groom |
| Address | Milton Park, Bowral, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs E Everitt, Milton Park, Bowral, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Brigade, Headquarters |
| AWM Embarkation Roll number | 10/2/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A29 Suevic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
