| Regimental number | 2091 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Tailem Bend, South Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs. Gertrude Carbis, care Mrs. Cranwell, Wakefield Street, Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/14/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Anzac Battalion, Imperial Camel Brigade |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | West Terrace Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
