| Regimental number | 67995 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Cemetery Road, Mount Morgan, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Aunt, R Welsh, Cemetery Road, Mount Morgan, Queensland |
| Enlistment date | 30 October 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 27 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
