| Regimental number | 4189 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Driver |
| Address | 71 Ifould Street, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs L Hart, 71 Ifould Street, Adelaide, South Australia |
| Enlistment date | 16 August 1915 |
| Date of enlistment from Nominal Roll | 4 August 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 11 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 5 April 1919 |
| Miscellaneous details (Nominal Roll) | *Given name Andrew William |