| Regimental number | 14804 |
| Place of birth | Richmond, Victoria |
| Religion | Roman Catholic |
| Occupation | Metal ceiling fixer |
| Address | Richmond South, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, D W Casisn, 1 Cubitt Street, Richmond South, Victoria |
| Previous military service | 56th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Casualty Clearing Station |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
