| Regimental number | 14636 |
| Religion | Roman Catholic |
| Occupation | Sign writer |
| Address | 22 Sutton Street, North Carlton, Victoria |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs A Buckley, 22 Sutton Street, North Carlton, Victoria |
| Enlistment date | 2 December 1915 |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 23, Reinforcement 2 |
| AWM Embarkation Roll number | 13/133/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Miscellaneous details (Nominal Roll) | see other |
