| Regimental number | 3009 |
| Religion | Roman Catholic |
| Occupation | Fireman |
| Address | c/o Messrs Bunning Bros, Duke Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Gertrude Jones, 4 Wade Street, North Perth, Western Australia |
| Enlistment date | 9 June 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/13/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A6 Clan Maccorquodale on 19 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
