| Regimental number | 34628 |
| Religion | Roman Catholic |
| Occupation | Accountant |
| Address | c/o Bartlams Ltd, Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Aunt, Mrs Mary Pease, Echlin Street, Townsville, Queensland |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, April 1917 Reinforcements |
| AWM Embarkation Roll number | 13/128/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 115 Date: |