| Regimental number | 58448 |
| Place of birth | Swansea Tasmania |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Claremont, Tasmania |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs E G Stacey, Nubeena, Tasmania |
| Enlistment date | 9 August 1916 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 7 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
