| Regimental number | 4771 |
| Place of birth | Bacchus Marsh Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Friend, Miss M A Fox, Goodmans Creek, Bacchus Marsh, Victoria |
| Enlistment date | 8 December 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 14 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
