| Regimental number | 5207 |
| Place of birth | Adelaide, South Australia |
| Religion | Roman Catholic |
| Occupation | Gardener |
| Address | Mitcham, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M M Maloy, 108 West Terrace, Adelaide, South Australia |
| Enlistment date | 1 November 1915 |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on 25 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
