| Regimental number | 1200A |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Horse breaker |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Mrs. Alice Cotter, Egan Road, Kalgoorlie, Western Australia |
| Enlistment date | 23 July 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 8th Reinforcement |
| AWM Embarkation Roll number | 10/7/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 16 August 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
