| Regimental number | 1139 |
| Address | Minyip, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mrs J Hogan, Minyip, Victoria |
| Enlistment date | |
| Rank on enlistment | Corporal |
| Unit name | 7th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/24/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Fate | No details of fate entered on Nominal Roll |