| Regimental number | 1965 |
| Place of birth | West Maitland New South Wales |
| Religion | Roman Catholic |
| Occupation | Cook |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mary Jerome, St. Joseph's Convent, Blayney, New South Wales |
| Enlistment date | 20 January 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/30/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 13 April 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
