| Regimental number | 4384 |
| Place of birth | Orange New South Wales |
| Religion | Roman Catholic |
| Occupation | Tailor |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs E Freeman, 54 O'Connor Street, Chippendale, New South Wales |
| Enlistment date | 11 March 1915 |
| Rank on enlistment | Corporal |
| Unit name | 3rd Australian General Hospital |
| AWM Embarkation Roll number | 26/67/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Miscellaneous details (Nominal Roll) | see other |
