| Regimental number | 747A |
| Place of birth | Launceston Tasmania |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Deloraine, Tasmania |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Edith May Sullivan, Deloraine, Tasmania |
| Previous military service | 12th A L H |
| Enlistment date | 17 March 1916 |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, C Company |
| AWM Embarkation Roll number | 23/57/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A35 Berrima on 1 July 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
