| Regimental number | 1994 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Smith, 21 Urquhart Street, South Northcote Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |