| Regimental number | 4276 |
| Religion | Roman Catholic |
| Occupation | Ironworker |
| Address | 66 Pilgrim Street, Footscray, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, T Owen, 66 Pilgrim Street, Footscray, Victoria |
| Enlistment date | 19 July 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 29 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |