| Regimental number | 510 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Keilor PO, Keilor, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Ann Hall, Keilor PO, Keilor, Queensland |
| Enlistment date | 3 October 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 15, Reinforcement 8 |
| AWM Embarkation Roll number | 24/20/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 22 December 1916 |
| Miscellaneous details (Nominal Roll) | crossed out on n.r. |
