| Regimental number | 4058 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | Darlinghurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Annie Hughes, 241 Victoria Street, Darlinghurst, New South Wales |
| Enlistment date | 24 March 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | ABD |
| Fate | Effective abroad (still overseas) |
