| Regimental number | 5221 |
| Place of birth | Bendigo Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Miller Street, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs E Ware, Miller Street, Bendigo, Victoria |
| Enlistment date | 7 February 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Infantry Brigade Headquarters |
| Fate | Effective abroad (still overseas) |
