| Regimental number | 99 |
| Place of birth | Ascot Vale Victoria |
| Religion | Church of England |
| Occupation | Soldier |
| Address | Ascot Vale, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Mabel Annie Lang, 1 Holdsworth Street, Ascot Vale, Victoria |
| Previous military service | AASC Perm Services |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Australian Remount Unit India |
| AWM Embarkation Roll number | 28/4/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Chindwarra on |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board SS Chindwarra on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Gracchus on |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board SS Shirala on |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Waitoma on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Mahai on |
| Fate | No details of fate entered on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
