| Regimental number | 5501 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Beechworth, Oswald Street, Bexley, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs H Stapleton, Beechworth, Oswald Street, Bexley, New South Wales |
| Enlistment date | 4 April 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |