| Regimental number | 1901 |
| Place of birth | Mann Russia |
| Religion | Roman Catholic |
| Occupation | Seaman |
| Address | 126 Broughton Street, Darlinghurst. NSW |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, Maddis Prii, Tiwonie Moon, Konwast, Hellam, Russia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 14/13/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |