| Regimental number | 90 |
| Religion | Church of England |
| Occupation | Shoeing smith |
| Marital status | Widower |
| Age at embarkation | 30 |
| Next of kin | Mother-in-Law, Mrs Ann Lewis, 7 Neaton Terrace, Edward Ville near Tieharris, New South Wales |
| Enlistment date | |
| Rank on enlistment | Corporal Shoeing Smith |
| Unit name | 10th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/15/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A47 Mashobra on |
| Fate | No details of fate entered on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
