| Regimental number | 5969 |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | North Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Florence McQurik, 198 Dryburgh Street, North Melbourne, Victoria |
| Enlistment date | 7 September 1916 |
| Date of enlistment from Nominal Roll | "nonr" |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/41/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
