| Regimental number | 13133 |
| Place of birth | Liverpool England |
| Religion | Roman Catholic |
| Occupation | Chemist |
| Address | St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs V Plover, 32 Park Street, St Kilda, Victoria |
| Enlistment date | 9 October 1916 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Staff Sergeant Dispensers |
| AWM Embarkation Roll number | 26/108/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |