| Regimental number | 1151 |
| Place of birth | Dubbo New South Wales |
| Religion | Church of England |
| Occupation | Horse-driver |
| Address | Nayeb Ayoub, McMahon Street, Coonamble West, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Nayeb Ayoub, McMahon Street, Coonamble West, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 8th Reinforcement |
| AWM Embarkation Roll number | 10/6/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Recommendations (Medals and Awards) |
Mention in Army Orders Recommendation date: |
| Fate | Returned to Australia |