| Regimental number | 3364 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Carter |
| Address | 126 Jersey Road, Paddington, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Lily Moran, same address |
| Enlistment date | 15 April 1917 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 28th Reinforcement |
| AWM Embarkation Roll number | 10/12/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on 11 June 1917 |
| Rank from Nominal Roll | Private |
