| Regimental number | 1639 |
| Place of birth | Newcastle New South Wales |
| Religion | Roman Catholic |
| Occupation | Carpenter |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Annie Willis, c/o Mrs McGregor, Russell Street, Albion, Queensland |
| Enlistment date | 15 December 1916 |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
