| Regimental number | 17243 |
| Religion | Roman Catholic |
| Occupation | Foreman fitter |
| Address | Shandon Hills, Mount Morgan, Queensland |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs A Pursall, Shandon Hills, Mount Morgan, Queensland |
| Enlistment date | 25 February 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 July 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
