| Regimental number | 69140 |
| Place of birth | Ballarat Victoria |
| Religion | Roman Catholic |
| Occupation | School teacher |
| Address | Railway Station, Talbot, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M Young, Railway Station, Talbot, Victoria |
| Enlistment date | 10 May 1918 |
| Rank on enlistment | Private |
| Unit name | 16th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
