
| Regimental number | 2910 |
| Place of birth | Bendigo, Victoria |
| Religion | Roman Catholic |
| Occupation | Groom |
| Address | Dooley Street, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mrs M J Caine, Dooley Street, Bendigo, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on |