| Regimental number | 1804 |
| Religion | Roman Catholic |
| Occupation | Waggon driver |
| Address | Warrandah, Lvanhoe Street, Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mrs A W A Adrian, Warrandah, Ivanhoe Street, Marrickville, New South Wales |
| Enlistment date | 4 January 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/18/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 10 April 1915 |
