| Regimental number | 5475 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Gundagai, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs L M Yeates, 48 Blenheim Street, Balaclava, Melbourne, Victoria |
| Enlistment date | 12 December 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A4 Ceramic on 14 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |