| Regimental number | 66961 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Storeman |
| Address | 25 Charles Street, East Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs B Melly, 25 Charles Street, East Sydney, New South Wales |
| Enlistment date | 21 June 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 23 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Rank from Nominal Roll | Private |
