| Regimental number | 13807 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Hotelkeeper |
| Address | Manly, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Miss M V Lappan, 12 Ashburner Street, Manly, New South Wales |
| Enlistment date | 15 November 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
