| Regimental number | 21217 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Drover |
| Address | Camooweal, Queensland |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Mrs C Ramsey, 987 Wellington Street, Perth, Western Australia |
| Enlistment date | 22 November 1915 |
| Rank on enlistment | Gunner |
| Unit name | 9th Field Artillery Brigade, 36th Battery |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
