| Regimental number | 61578 |
| Place of birth | Melbourne, Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 173 Bridge Street, Port Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, J T Amy, 173 Bridge Street, Port Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |