| Regimental number | 21085 |
| Place of birth | New York USA |
| Religion | Roman Catholic |
| Occupation | Mental attendant |
| Address | Parramatta, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Friend, T Down, New Street, Parramatta, New South Wales |
| Enlistment date | 28 October 1918 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Sea Transport Staff, Section 10 (Mental) |
| AWM Embarkation Roll number | 26/104/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |