| Regimental number | 517 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Minimay |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Kate O'Callaghan, Minimay |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/18/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A34 Persic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |