| Regimental number | 1155 |
| Address | Wee Wee Rup, via Echuca, Victoria |
| Marital status | Single |
| Next of kin | Mrs T McGowan, Wee Wee Rup, via Echuca, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/24/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | 59th Bn |