| Regimental number | 3375 |
| Place of birth | Tarana New South Wales |
| Religion | Church of England |
| Occupation | Dentist |
| Address | Emu Valley, Tarana, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, T. Whalan, Emu Valley, Tarana, New South Wales |
| Enlistment date | 4 April 1917 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 28th Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on 11 June 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
