| Regimental number | 1724 |
| Place of birth | Bathurst New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 210 Rockett Street, Bathurst, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Sister, Mrs A Rawson, 210 Rockett Street, Bathurst, New South Wales |
| Enlistment date | 16 October 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 8th Reinforcement |
| AWM Embarkation Roll number | 10/17/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A10 Karroo on 5 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
