| Regimental number | 4197 |
| Place of birth | Bathurst New South Wales |
| Religion | Roman Catholic |
| Occupation | Bricklayer |
| Address | Kensington, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs M Melville, 'Balfour', Balfour Road, Kensington, Sydney, New South Wales |
| Enlistment date | 30 October 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Private |