| Regimental number | R2496 |
| Religion | Roman Catholic |
| Occupation | Contractor |
| Address | 7 Service Street, Coburg, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs E Carroll, 7 Service Street, Coburg, Victoria |
| Enlistment date | 14 June 1915 |
| Rank on enlistment | CQMS |
| Unit name | 6th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 11 September 1916 |
| Fate | No details of fate entered on Nominal Roll |