| Regimental number | 4876 |
| Place of birth | Leichhardt New South Wales |
| Religion | Roman Catholic |
| Occupation | Newsagent |
| Address | Northwood Road, Longueville, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Aunt, E Shackling, Northwood Road, Longueville, New South Wales |
| Enlistment date | 17 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
