| Regimental number | 143 |
| Place of birth | Clare South Australia |
| Religion | Roman Catholic |
| Occupation | Shoesmith |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Bridget Wethers, Albert Street, Prospect, Adelaide, South Australia |
| Enlistment date | 8 October 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, B Squadron |
| AWM Embarkation Roll number | 26/46/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board Transport A7 Medic on 20 October 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |