| Regimental number | 1395 |
| Place of birth | Penrith New South Wales |
| Religion | Roman Catholic |
| Occupation | Tinmaker |
| Address | Penrith, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Emily Smith, Belmore Street, Penrith, New South Wales |
| Enlistment date | 27 September 1915 |
| Rank on enlistment | TPR |
| Unit name | Australian Remount Unit 2, Squadron 5 |
| AWM Embarkation Roll number | 28/3/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 10 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
