| Regimental number | 4713 |
| Religion | Roman Catholic |
| Occupation | Platelayer |
| Address | c/o M Allen, Picture Land, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Miss Elizabeth Brooks, c/o PO, 794 Kent Road, London SE |
| Enlistment date | 31 March 1915 |
| Rank on enlistment | Private |
| Unit name | Australian General Hospital 3, Reinforcement 1 |
| AWM Embarkation Roll number | 26/67/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 15 June 1915 |
| Fate | No details of fate entered on Nominal Roll |