| Regimental number | 2491 |
| Religion | Roman Catholic |
| Occupation | Horsehair drafter |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs C McCormack c/o Dean And Co, Sydney Road, Coburg, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on |
| Fate | No details of fate entered on Nominal Roll |