| Regimental number | 4669 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Wodonga, Victoria |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Aunt, Mrs J Banford, 40 Coonbrook Street, Old Trafford near Manchester, England |
| Enlistment date | 5 October 1915 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 12, Reinforcement 2 |
| AWM Embarkation Roll number | 13/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
