| Regimental number | 277 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Medical student |
| Address | 52 Brunswick Street, Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Lily Kirwan, 52 Brunswick Street, Fitzroy, Victoria |
| Enlistment date | 31 May 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps - Hospital Transports (Number 1 Hospital Ship A61, "Kanowna") |
| AWM Embarkation Roll number | 26/104/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A61 Kanowna on n.d. |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Miscellaneous |
| Fate | Effective abroad (still overseas) |