
| Regimental number | 4509 |
| Religion | Roman Catholic |
| Occupation | Butcher |
| Address | Riddells Creek, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs A Harper, Riddells Creek, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Fate | No details of fate entered on Nominal Roll |