| Regimental number | 4173 |
| Religion | Roman Catholic |
| Occupation | Boilermaker |
| Address | 100 Bay Street, Port Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs A Clark, 100 Bay Street, Port Melbourne, Victoria |
| Enlistment date | 20 July 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 29 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |