| Regimental number | 1190 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Walgett, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, Edward Albert Clarence, Walgett, New South Wales |
| Enlistment date | 27 April 1916 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 19 August 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
