| Regimental number | 3507 |
| Place of birth | Latrobe, Tasmania |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Moriarty, Tasmania |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs. Bethia Agnes Douglas, West Devonport, Tasmania |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 30th Reinforcement |
| AWM Embarkation Roll number | 10/8/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
