| Regimental number | 6734 |
| Place of birth | Kadina, South Australia |
| Religion | Roman Catholic |
| Occupation | Shop assistant |
| Address | Kadina, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs E Coombes, Kadina, South Australia |
| Previous military service | 81st Infantry |
| Enlistment date | 5 September 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 7 November 1916 |