| Regimental number | 9783 |
| Place of birth | Woodgreen England |
| Religion | Roman Catholic |
| Occupation | Wardsman |
| Address | 35 Mahoney Street, Richmond,Vic |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Margaret Croom, 35 Mahoney Street, Richmond,Vic |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Field Ambulance, 16th Reinforcement |
| AWM Embarkation Roll number | 26/45/3 |
| 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 |
| Date of death | 2 March 1936 |
| Place of burial | Springvale Cemetery |
