| Regimental number | 53992 |
| Religion | Roman Catholic |
| Occupation | Laceuring concreteor |
| Address | Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Miss M J Kayrooz, 207 Elizabeth Street, Redfern, New South Wales |
| Enlistment date | 17 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |