| Regimental number | 3635 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Lethridge, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, W Mansell, 149 Foundry lane, Smethwick, England |
| Enlistment date | 5 March 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 28th Reinforcement |
| AWM Embarkation Roll number | 10/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 22 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Effective abroad (still overseas) |
