| Regimental number | 3592A |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | 100 Sewell Street, East Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Mrs C Witheridge, 100 Sewell Street, East Fremantle, Western Australia |
| Enlistment date | 23 November 1915 |
| Rank on enlistment | Sapper |
| Unit name | No 1 Mining Corps, 4th Reinforcements |
| AWM Embarkation Roll number | 16/8/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Miscellaneous details (Nominal Roll) | see other |
