| Regimental number | 10621 |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs F Scallon, 12 Upperhile Street, Port Elizabeth, South Africa |
| Enlistment date | 29 July 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 2, Reinforcement 13 |
| AWM Embarkation Roll number | 13/30/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
