| Regimental number | 4610 |
| Religion | Roman Catholic |
| Occupation | Engine cleaner |
| Address | 151 Morehead Street, Redfern, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs Mary Lydia McCullum, Zamia Street, Redfern, Sydney, New South Wales |
| Enlistment date | 4 July 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |