| Regimental number | 1769 |
| Place of birth | Cornwall England |
| Religion | Church of England |
| Occupation | Farmer |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Julia Maynard, St Geomans, Cornwall, England |
| Enlistment date | 7 February 1916 |
| Date of enlistment from Nominal Roll | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 9th Reinforcement |
| AWM Embarkation Roll number | 10/17/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 2 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia 7 July 1919 |
