| Regimental number | 535 |
| Place of birth | Mullumbimby New South Wales |
| Religion | Protestant |
| Occupation | Farmer |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Samuel Laverty, Mullumbimby, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/7/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A15 Star Of England 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
