| Regimental number | 643 |
| Place of birth | Rushworth Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 75 Francis Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs A. Southam, Bremer House, Woodend, Victoria |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Divisional Train, No 1 Company |
| AWM Embarkation Roll number | 25/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A24 Benalla on |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A19 Afric on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Effective abroad (still overseas) |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |