| Regimental number | 3670 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Student |
| Address | North Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, J Samuel, 274 Ward Street, North Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 33rd Reinforcement |
| AWM Embarkation Roll number | 10/14/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
