| Regimental number | 11937 |
| Religion | Roman Catholic |
| Occupation | Fireman |
| Address | 5 Clayton Street, Ballarat East, Victoria |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs V Copper, 5 Clayton Street, Ballarat East, Victoria |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 1, Reinforcement 14 |
| AWM Embarkation Roll number | 25/89/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |