| Regimental number | 68861 |
| Place of birth | Port Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Port Melbourne, Victoria |
| Marital status | Married (Separated) |
| Age at embarkation | 33 |
| Next of kin | Sister, Wife, Mrs S Sievers (address unknown); Mrs L O'Brien, 72 Dow Street, Port Melbourne, Victoria |
| Enlistment date | 13 July 1918 |
| Rank on enlistment | Private |
| Unit name | 15th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |