| Regimental number | 4366 |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | Dimboola, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Cousin, Mrs Sarah Chidzey, Dimboola, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on |
| Fate | No details of fate entered on Nominal Roll |