| Regimental number | 2903 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Baker |
| Address | 119 Queensberry Street, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Mrs Begelhole, 119 Queensberry Street, North Melbourne, Victoria |
| Enlistment date | 26 April 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 27 September 1915 |