| Regimental number | 19002 |
| Place of birth | Nottingham England |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Father, J Richardson, 6 Kirkgate, Newark, Nottinghamshire, England |
| Enlistment date | 3 August 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Trooper |
| Unit from Nominal Roll | 2nd Light Horse Field Ambulance |
| Fate | Returned to Australia 3 July 1919 |