| Regimental number | 1857 |
| Place of birth | Clunes Victoria |
| Religion | Roman Catholic |
| Occupation | Engine driver |
| Address | St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 47 |
| Next of kin | Wife, Mrs A M Jeffers, 25 Little Gray Street, St Kilda, Victoria |
| Enlistment date | 20 April 1917 |
| Rank on enlistment | 2nd Corporal |
| Unit name | Railway Unit, Section 5 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
