| Regimental number | 782 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Station hand |
| Address | c/o Mrs Cox, Northcote Road, Lindfield, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 45 |
| Next of kin | Sister, Miss E A McMillan, Northcote Road, Lindfield, North Sydney, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/17/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
