| Regimental number | 4967 |
| Religion | Roman Catholic |
| Occupation | Fisherman |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Friend, Mrs M Shadforth, 107 Albert Street, East Brunswick, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |