| Regimental number | 27645 |
| Religion | Roman Catholic |
| Occupation | Grocer |
| Address | Toolamba, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Sister, Miss A Broadhead, Hamilton, Victoria |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Howitzer Brigade 23, Reinforcement 6 |
| AWM Embarkation Roll number | 13/133/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A30 Borda on |