| Regimental number | 3663 |
| Place of birth | Warracknabeal Victoria |
| Religion | Roman Catholic |
| Occupation | Butcher |
| Address | 49 Davis Street, Newport, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs White, 49 Davis Street, Newport, Victoria |
| Enlistment date | 22 February 1915 |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 7, Field Ambulance 7, Section B |
| AWM Embarkation Roll number | 26/50/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on 31 May 1915 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Clan Mcewan on 28 June 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
