| Regimental number | 639 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Grafton, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Phyllis Gillispie, Chatsworth Island, Clarence River, New South Wales |
| Enlistment date | 13 October 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 12, Reinforcement 11 |
| AWM Embarkation Roll number | 24/17/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
