| Regimental number | 1670 |
| Religion | Roman Catholic |
| Occupation | Dentist's apprentice |
| Address | Cairns, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, Miss B McGrath, Mabbro House, Lake Street, Cairns, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 67 Date: |