| Regimental number | 1617 |
| Place of birth | Goulburn New South Wales |
| Religion | Roman Catholic |
| Occupation | Tinsmith |
| Address | Goulburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs F Warne, 12 Richards Avenue, Surry Hills, New South Wales |
| Enlistment date | 21 March 1916 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, Headquarters |
| AWM Embarkation Roll number | 23/50/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 4 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
