| Regimental number | 3876 |
| Place of birth | Bendigo Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Emmett via Blackall, Queensland |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mrs Ann McCartin, Clayton, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT Wandilla on |