| Regimental number | 3496A |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 71A Darlinghurst Road, Darlinghurst, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister, Mrs E Robinson, 71A Darlinghurst Road, Darlinghurst, Sydney, New South Wales |
| Previous military service | 2nd Light Horse |
| Enlistment date | 9 December 1915 |
| Rank on enlistment | Sapper |
| Unit name | No 1 Mining Corps, 4th Reinforcements |
| AWM Embarkation Roll number | 16/8/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Miscellaneous details (Nominal Roll) | see other |