| Regimental number | 510 |
| Place of birth | Trinity England |
| Religion | Methodist |
| Occupation | Station hand |
| Address | Coonamble PO, Coonamable, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Jessie Wraith, Boughton Mount, Maidstone, England |
| Enlistment date | 28 August 1914 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/6/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mongolia on 8 July 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
