
| Regimental number | 2003 |
| Place of birth | Greta New South Wales |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | 15 Junction Street, Merewether, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mrs E McQuillan, 15 Junction Street, Merewether, Newcastle, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section A |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A35 Berrima on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Died of wounds |
| Place of burial | Lijssenthoek Military Cemtery (Plot XXI, Row A, Grave No. 19), Belgium |
| Panel number, Roll of Honour, Australian War Memorial | 183 |