| Regimental number | *3727 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Coburg, Victoria |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Mother, Mrs Jane Slaven, 14 White Street, Coburg, Victoria |
| Enlistment date | 20 March 1916 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 25 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
