| Regimental number | 2457 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Station hand |
| Address | 195 Barcom Avenue, Darlinghurst, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs C Welby, 195 Barcom Avenue, Darlinghurst, Sydney, New South Wales |
| Enlistment date | 15 July 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on 5 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
