| Regimental number | 3416 |
| Place of birth | Milton England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Govt. Tank, Toole's Creek, Tumbarumba Road via Wagga Wagga, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Eletha Fagg, Government Tank, Toole's Creek, Tumbarumba Road via Wagga Wagga, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 29th Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Warrant Officer (Class II) |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia |
| Other details | Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
