| Regimental number | 4837 |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | Subiaco, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs J E Burke, 116 Rupert Street, Subiaco, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on |
| Miscellaneous details (Nominal Roll) | see other |