| Regimental number | 4214 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Macquarie Street, Liverpool, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Mary Summers care or Mrs Newnham, Macquarie Street, Liverpool, New South Wales |
| Enlistment date | 23 September 1915 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
