| Regimental number | 766 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Strockman |
| Address | Capella, Central Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Half-sister, Victoria Petersen, Newhave, Gin Gin, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 3rd Reinforcement |
| AWM Embarkation Roll number | 10/10/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A53 Itria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Provost Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
