| Regimental number | 105 |
| Place of birth | Tintenbar New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Tintenbar, Richmond River, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, H Fredericks, Tintenbar, Richmond River, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/10/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
