| Regimental number | 1991 |
| Place of birth | Dalby Queensland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Murwillumbah, Tweed River, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Ada Guinea, Murwillumbah, Tweed River, New South Wales |
| Enlistment date | 6 November 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Remount Unit 2, Squadron 7 |
| AWM Embarkation Roll number | 28/3/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Orontes on 10 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
