| Regimental number | 2413 |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Friend, R Cosgrove, Turf Street, Grafton, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/42/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Private |