| Regimental number | R633 |
| Religion | Roman Catholic |
| Occupation | Saddler |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs K. Orr, 20 Anderson Street, Ballarat West, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/9/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Mongolia on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |