| Place of birth | Coonamble, New South Wales |
| Religion | Roman Catholic |
| Occupation | Station hand |
| Address | Cambridge Street, Enmore, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Ida Crook, Cambridge Street, Enmore, New South Wales |
| Enlistment date | 31 October 1914 |
| Place of enlistment | Junee, New South Wales |
| Rank on enlistment | Driver |
| Unit name | 2nd Light Horse Field Ambulance |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A30 Borda on 15 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Miscellaneous details | No Regimental Number entered on Embarkation Roll. |
