| Regimental number | 3123 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Wharf labourer |
| Address | Glebe, New South Wales |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Agnes Ruth Pearce, 19 Brougham Street, Glebe, New South Wales |
| Enlistment date | 9 April 1917 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 9 May 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |