| Regimental number | 6570 |
| Place of birth | London England |
| Religion | Roman Catholic |
| Occupation | Mechanic |
| Address | 19 The Avenue, Windsor, Victoria |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mrs Henrietta Olive, Croydon, England |
| Enlistment date | 20 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 4, Battery 11 |
| AWM Embarkation Roll number | 13/32/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 18 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
