
| Regimental number | 5192 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Northcote, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mrs E J Moore, McIntyre Street, Hamilton, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Light Horse Brigade Train 3 |
| AWM Embarkation Roll number | 25/100/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A51 Chilka on |
| Rank from Nominal Roll | Private |