| Regimental number | 361 |
| Place of birth | Minyip, Victoria |
| Religion | Roman Catholic |
| Occupation | Horse driver |
| Address | Devereaux Street, Warracknabeal, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Charlotte Bloomer, Devereaux Street, Warracknabeal, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 10, Reinforcement 4 |
| AWM Embarkation Roll number | 24/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
