| Regimental number | 5063 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | O'Connell, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, W Maulsbury, O'Connell, New South Wales |
| Enlistment date | 3 November 1915 |
| Date of enlistment from Nominal Roll | 2 November 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 5 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 13 February 1917 |
