| Regimental number | 964 |
| Place of birth | Tatura Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Burneside, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Francis Henry Fuzzard, Burneside, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/13/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A66 Uganda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Squadron |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
