| Regimental number | 394 |
| Place of birth | Dubbo New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Mrs J F Lord, Murphys Creek, Queensland |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mrs J F Lord, Murphys Creek, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/16/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A7 Medic on |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | 11th LH |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
