| Regimental number | 126 |
| Religion | Church of England |
| Occupation | Grocer |
| Address | Victoria Street, Bowen Bridge, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mr H Samuels, Victoria Street, Bowen Bridge, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 5th Company Army Service Corps, 1st Light Horse Brigade Train |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Omrah on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Division Train |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
