| Regimental number | 1114 |
| Place of birth | N/A India |
| Religion | Islam |
| Occupation | Farmer |
| Address | 189 Wellington Street, Launceston, Tasmania |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs Jane Allie Khan, 189 Wellington Street, Launceston, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Remount Unit 1, Squadron 4 |
| AWM Embarkation Roll number | 28/2/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Remount Unit |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
