| Regimental number | 2376 |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Gormaston, Tasmania |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Mrs Annie Halloran, 99 Swan Street,Richmond, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/57/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
