| Regimental number | 1002A |
| Place of birth | Queensland |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Scarr Street, Cloncurry, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Emily Elizabeth Dann, Scarr Street, Cloncurry, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 4th Reinforcement |
| AWM Embarkation Roll number | 10/16/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A1 Hymettus on |
| Regimental number from Nominal Roll | 1002 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
