| Regimental number | 16657 |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Railway fireman |
| Address | 750 Illawarra Road, Marrickville, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Ada Margaret Mulveney, 750 Illawarra Road, Marrickville, Sydney, New South Wales |
| Enlistment date | 19 May 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, 24th Reinforcement |
| AWM Embarkation Roll number | 26/39/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Karmala on 3 February 1917 |