| Regimental number | 4286 |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Derby, Tasmania |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs M Burke, Derby, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on |
| Fate | No details of fate entered on Nominal Roll |