| Regimental number | 4868 |
| Religion | Roman Catholic |
| Occupation | Shearer |
| Address | North Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs T Devine, Lamrock Avenue, Bondi, New South Wales |
| Enlistment date | 16 February 1916 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Miscellaneous details (Nominal Roll) | see other |
