| Regimental number | 3664 |
| Place of birth | Halifax England |
| Religion | Church of England |
| Occupation | Cook |
| Address | Frewville, South Australia |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs R Mallinson C/o Mrs H Wales, South Plympton, South Australia |
| Enlistment date | 6 November 1917 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 33rd Reinforcement |
| AWM Embarkation Roll number | 10/14/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 29 April 1919 |