| Regimental number | 5200 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Wallace Street, Braidwood, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Father, W Rodgers, Wallace Street, Braidwood, New South Wales |
| Enlistment date | 21 January 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 14 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
