| Regimental number | 9965 |
| Religion | Baptist |
| Occupation | Grocer |
| Address | Hamilton, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W Mathews, Veda Street, Hamilton, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, 16th Reinforcement |
| AWM Embarkation Roll number | 26/66/3 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia |