| Regimental number | 1122 |
| Religion | Roman Catholic |
| Occupation | Station hand |
| Address | 17 Oben-street, Hawksburn, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs. Margaret Waters, c/o Mr. Payne, Fire Station, North Williamstown |
| Enlistment date | 3 February 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 7th Reinforcement |
| AWM Embarkation Roll number | 10/7/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A9 Shropshire on 20 August 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
