| Regimental number | 1568 |
| Place of birth | Middlesex England |
| Religion | Roman Catholic |
| Occupation | Lumper |
| Address | Nelson Street, South Townsville, Queensland |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs M Jensen, Nelson Street, South Townsville, Queensland |
| Enlistment date | 31 December 1914 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 3rd Reinforcement |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 13 February 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
