| Regimental number | 3 |
| Place of birth | Stawell Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Mrs M Oliver, c/o Lyrup PO, Lyrup, Murray River, South Australia |
| Enlistment date | 14 December 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Machine Gun Squadron, March 1917 Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
