| Regimental number | 4188 |
| Place of birth | St Kilda Victoria |
| Religion | Roman Catholic |
| Occupation | Motor driver |
| Address | St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M J Fraser, 22 Alma Road, St Kilda, Victoria |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Driver |
| Unit name | AMC Motor Drivers |
| AWM Embarkation Roll number | 26/106/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A21 Marere on 20 August 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
