| Regimental number | 2033 |
| Place of birth | Goulburn New South Wales |
| Religion | Church of England |
| Occupation | Cook |
| Address | c/o Nellie Mahomet, Avoca PO, Avoca, Victoria |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Friend, Miss N. Mahomet, Avoca PO, Avoca, Victoria |
| Enlistment date | 19 January 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/30/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 13 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 21 April 1918 |
| Date of death | 8 March 1950 |
| Place of burial | Fawkner Cemetery |
