| Regimental number | 4925 |
| Religion | Roman Catholic |
| Occupation | Stationer |
| Address | Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs F J Keating, 113 Harrington Street, Hobart, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |