| Regimental number | 1413 |
| Religion | Roman Catholic |
| Occupation | Engineer |
| Address | Thuddingia, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, E Gibbs, Duna, Queanbeyan, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 3 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on |