
| Regimental number | 634 |
| Religion | Roman Catholic |
| Occupation | Advertising agent |
| Address | Ross Street, Newstead, Brisbane |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Mrs. Mellifont, Ross Street, Newstead, Brisbane |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/7/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A42 Boorara on |
| Rank from Nominal Roll | Private |