| Regimental number | 2821 |
| Place of birth | Walcha New South Wales |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs. Isabella Mansfield, Port Stevens Road, via Walcha, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/7/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mongolia on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
