| Regimental number | 1076 |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Chitworth, Rockdale |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | J. Appleton, Chitworth, Rockdale |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 7th Reinforcement |
| AWM Embarkation Roll number | 10/11/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A51 Chilka on |
| Miscellaneous details (Nominal Roll) | see other |