| Regimental number | 4073 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Campsie, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Mrs N Quinn, McKern Street, Campsie, New South Wales |
| Enlistment date | 5 November 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
