| Regimental number | 5884 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Bread carter |
| Address | The Pacific Parade, Manly, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Florence Oliver, 21 The Pacific Parade, Manly, New South Wales |
| Enlistment date | 10 May 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/34/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |