| Regimental number | 5749 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Mrs G Poulton, Gladstoneville, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Mrs G Poulton, Gladstoneville, New South Wales |
| Enlistment date | 22 December 1914 |
| Rank on enlistment | Driver |
| Unit name | Light Horse Brigade Train 1, Reinforcement 5 |
| AWM Embarkation Roll number | 25/95/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 16 April 1915 |
| Regimental number from Nominal Roll | 188 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | No. 1 Motor Transport Company |
| Fate | Effective abroad (still overseas) |
