| Regimental number | 1802 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | Hercules Street, Chatswood, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | J T Valkenburg, Hercules Street, Chatswood, New South Wales |
| Enlistment date | 15 February 1915 |
| Date of enlistment from Nominal Roll | 16 February 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, 4th Reinforcement |
| AWM Embarkation Roll number | 26/39/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A9 Shropshire on 17 March 1915 |
| Regimental number from Nominal Roll | 1802A |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 12 June 1919 |
