| Regimental number | 16178 |
| Place of birth | Ballarat, Victoria |
| Religion | Roman Catholic |
| Occupation | Agent |
| Address | Essendon, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs J Bollen, 5 Daisy Street, Essendon, Victoria |
| Enlistment date | |
| Rank on enlistment | Motor Transport Driver |
| Unit name | Mechanical Transport Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Australian Motor Transport Section |
| Fate | Effective abroad (still overseas) |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |