| Regimental number | 4784 |
| Religion | Roman Catholic |
| Occupation | Seaman |
| Address | 234 Ferrars Street, South Melbourne, Victoria |
| Marital status | Widower |
| Age at embarkation | 37 |
| Next of kin | Mother-in-Law, Mrs Alice Heenan, 470 City Road, South Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |