| Regimental number | 6767A |
| Place of birth | Melbourne, Victoria |
| Religion | Roman Catholic |
| Occupation | Line jobber and driver |
| Address | Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs D M Bouchaud, 36 Whitehall Street, Footscray, Victoria |
| Enlistment date | 27 January 1917 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/39/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Effective abroad (still overseas) |
