| Regimental number | 3595A |
| Religion | Roman Catholic |
| Occupation | Shearer |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Enlistment date | |
| 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 |
| Miscellaneous details (Nominal Roll) | see other |