| Regimental number | 1036 |
| Religion | Roman Catholic |
| Occupation | Chemist's assistant |
| Address | c/o Mrs. Smitherick, Eltham Street, Newmarket |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Miss Myrtle Cotton, c/o Mrs. Smitherick, Eltham Street, Newmarket |
| Enlistment date | 29 May 1915 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, D Company |
| AWM Embarkation Roll number | 23/48/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 9 November 1915 |
| Miscellaneous details (Nominal Roll) | missing page |
