| Regimental number | 3119 |
| Religion | Roman Catholic |
| Occupation | Carter |
| Address | 111 Goodlet Street, Surry Hills, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs. M.A. Roberts, 111 Goodlet Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | 30 August 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 8 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
