| Regimental number | 2019 |
| Place of birth | Punjab India |
| Religion | Islam |
| Occupation | Hawker |
| Address | Nhill, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, Mulla Khan, son of Shere Khan, District P.O., Moohere, Gujerat, Punjab, India |
| Enlistment date | 30 August 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/8/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A69 Warilda on 10 February 1916 |
| Regimental number from Nominal Roll | 2019A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 32nd Battalion |
| Fate | Returned to Australia 23 May 1917 |
