| Regimental number | 61640 |
| Place of birth | Beechworth Victoria |
| Religion | Roman Catholic |
| Occupation | Bread carter |
| Address | 27 Fergie Street, North Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Miss M E Kelly, 27 Fergie Street, North Fitzroy, Victoria |
| Previous military service | 63rd Infantry |
| Enlistment date | 3 June 1918 |
| Rank on enlistment | Private |
| Unit name | 12th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 31 August 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Mounted Division Details |
| Fate | Effective abroad (still overseas) |
