| Regimental number | 8347 |
| Place of birth | Noumea |
| Religion | Roman Catholic |
| Occupation | Dentist |
| Address | 6C Fitzroy Street, Milson's Point, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A Amourin, 6C Fitzroy Street, Milson's Point, North Sydney, New South Wales |
| Enlistment date | 16 July 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 13 |
| AWM Embarkation Roll number | 26/44/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 10 July 1916 |