| Regimental number | 1567 |
| Place of birth | Yarmouth England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Rosa Francis, 47 St Leonard's Road, Norwich, England |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs C. Francis, 47 St Leonard's Road, Norwich, England |
| Enlistment date | 10 August 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia 27 April 1919 |