| Regimental number | 976 |
| Religion | Church of England |
| Occupation | Storeman |
| Address | c/o Mr. Parkes, May Street, Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Friend, Mr. Parkes, May Street, Marrickville, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 5th Reinforcement |
| AWM Embarkation Roll number | 10/11/2 |
| Embarkation details | Unit embarked from Newcastle, New South Wales, on board HMAT A41 Forty-One on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
