| Regimental number | 1052 |
| Religion | Roman Catholic |
| Occupation | Porter |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs. B. Dalton, 61 Brown Street, East Perth, Western Australia |
| Enlistment date | 17 September 1914 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, C Company |
| AWM Embarkation Roll number | 23/28/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A11 Ascanius on 31 October 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
