| Regimental number | 4657 |
| Place of birth | Sorell Tasmania |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | Bellerive, Tasmania |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M Marshall, Bellerive, Tasmania |
| Enlistment date | 6 December 1917 |
| Rank on enlistment | Private |
| Unit name | Light Horse, February 1918 Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Rank from Nominal Roll | Trooper |
| Unit from Nominal Roll | aasc MT |
| Fate | Returned to Australia 20 July 1918 |
| Miscellaneous details (Nominal Roll) | *enlist date seems to be incorrect on photocopy |