| Regimental number | 39 |
| Religion | Roman Catholic |
| Occupation | Boilermaker |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | ..., Mrs M Humphries, 53 Lord Street, Middleburgh Yorks, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, A Company |
| AWM Embarkation Roll number | 23/30/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A38 Ulysses on |
| Fate | No details of fate entered on Nominal Roll |