| Regimental number | 5030 |
| Religion | Roman Catholic |
| Occupation | Bookkeeper |
| Address | 41 Brown Street, Paddington, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Friend, Mrs E Spickett, 41 Brown Street, Paddington, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on |
| Recommendations (Medals and Awards) |
Distinguished Conduct Medal (Altered to Military Medal) Recommendation date: |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |