
| Regimental number | 20 |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Green Stone, Pembrokeshire, Penyloosen, South Wales, U K |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Elizabeth Jones, Green Stone, Pembrokeshire, Penyloosen, South Wales, U K |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Naval & Military Expeditionary Force (Queensland Reinforcement) |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |