| Regimental number | 5145 |
| Place of birth | Adelaide South Australia |
| Other Names | Army Medical Corps Dental |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | 3 Stanley Street, Hyde Park, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 45 |
| Next of kin | Sister, Mrs M Moy Jamestown, South Australia |
| Enlistment date | 11 October 1915 |
| Date of enlistment from Nominal Roll | 28 September 1919 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Makarini on 1 April 1916 |
| Regimental number from Nominal Roll | CPL |
| Unit from Nominal Roll | RTA |
