
| Regimental number | 2163 |
| Religion | Church of England |
| Occupation | Rialway worker |
| Address | Macksville, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Sister, Mrs John Brady, South Broken Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 14/13/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A46 Clan MacGillivray on |