| Regimental number | 1420 |
| Place of birth | Wales England |
| Religion | Islam |
| Occupation | Bushman |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Mother, Mrs E Lloyd, 8 Ewenny Road, Bridge End, Glamorganshire, Wales |
| Enlistment date | 6 August 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/10/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashrobra on 4 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia 25 September 1919 |
