| Regimental number | 12294 |
| Place of birth | Ballarat Victoria |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | 614 Drummond Street, Ballarat South, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M A Fox, 614 Drummond Street, Ballarat South, Victoria |
| Enlistment date | 27 September 1915 |
| Rank on enlistment | Driver |
| Unit name | Field Ambulance 10 |
| AWM Embarkation Roll number | 26/53/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 20 June 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
