| Regimental number | 1814 |
| Place of birth | Harrow Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Mrs. Anastasia Tansey, corner of Woods and Gregory streets, Ballarat North, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs. Anastasia Tansey, Corner of Woods and Gregory streets, Ballarat North, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/14/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
