
| Regimental number | 4063 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Dentist |
| Address | 118 Allen Street, Leichhardt, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M Bisgrove, Myrtleville, 118 Allen Street, Leichhardt, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Acting Corporal |
| Unit name | 17th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 17th Battalion |
| Recommendations (Medals and Awards) |
Meritorious Service Medal Recommendation date: |
| Fate | Effective abroad (still overseas) |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 113 Date: |