| Regimental number | 5122 |
| Place of birth | Ramsgate England |
| Religion | Church of England |
| Occupation | Seaman |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | B Revell, Royal Naval College, Jervis Bay, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Light Horse Brigade Train 3 |
| AWM Embarkation Roll number | 25/100/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A51 Chilka on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 12th Company, Australian Army Service Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
