| Regimental number | 2095 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Shop-keeper |
| Address | Lismore, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs. Margaret Quitstoff Mont Magee Mallard, Merton Street, Ballina, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/7/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |