| Regimental number | 2476 |
| Place of birth | Wentworth New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 43 Dangar Place, Redfern, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 20 |
| Next of kin | Wife, Mrs. Amy Beatrice Illingworth, 43 Dangar Place, Redfern, Sydney, New South Wales |
| Enlistment date | 1 June 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
