| Regimental number | 1643 |
| Religion | Roman Catholic |
| Occupation | Hospital attendant |
| Address | c/o Mrs J Hardy, Simons Valley, Calgary, Canada |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Mrs J Hardy, Simons Valley, Calgary, Canada |
| Enlistment date | 1 June 1915 |
| Rank on enlistment | Private |
| Unit name | AMC Convalescent Depot |
| AWM Embarkation Roll number | 26/84/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A67 Orsova on 22 July 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Auxiliary Hospital |
| Fate | Returned to Australia 25 September 1919 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
