| Regimental number | 19561 |
| Place of birth | Footscray Victoria |
| Religion | Roman Catholic |
| Occupation | Cabinet maker |
| Address | Hawthorn, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Mrs E Goodall, 58 Melville Street, Hawthorn, Victoria |
| Enlistment date | 12 February 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Effective abroad (still overseas) |
