| Regimental number | 1778 |
| Place of birth | Rockhampton Queensland |
| Religion | Roman Catholic |
| Occupation | Butcher |
| Address | Merriwa Street, Katoomba, New South Wales |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Sister, Mrs Julia Bedddek, Merriwa Street, Katoomba, New South Wales |
| Enlistment date | 14 February 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 9th Reinforcement |
| AWM Embarkation Roll number | 10/17/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 2 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
