| 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 | |
| Rank on enlistment | Sapper |
| Unit name | No 4 Tunnelling Company - No 1 Military District |
| AWM Embarkation Roll number | 16/10/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on |