| Regimental number | 5631 |
| Place of birth | Warracknabeal Victoria |
| Religion | Roman Catholic |
| Occupation | Fireman |
| Address | Port Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Friend, Mrs Lydia Thorn, Cannon Street, Port Adelaide, South Australia |
| Enlistment date | 17 May 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 28 August 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
