| Regimental number | 1504 |
| Religion | Roman Catholic |
| Address | 127 Drummond Street, Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Jean Welsh, 127 Drummond Street, Carlton, Victoria |
| Enlistment date | 7 January 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 19 February 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |