| Regimental number | 1770 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Boolaroo, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Maggie Mitchell, Boolaroo, New South Wales |
| Enlistment date | |
| 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 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |