| Regimental number | 1092 |
| Religion | Roman Catholic |
| Occupation | Boilermaker's assistant |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | A E Cavanagh, Address Unknown |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, G Company |
| AWM Embarkation Roll number | 23/28/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A11 Ascanius on |
| Fate | No details of fate entered on Nominal Roll |