| Regimental number | 2174 |
| Place of birth | Tenterfield New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Mrs Fergin, Port Alma, Queensland |
| Enlistment date | 20 May 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/26/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A63 Karoola on 12 June 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |