| Regimental number | 53712 |
| Place of birth | Chippendale New South Wales |
| Religion | Methodist |
| Occupation | Machinist |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M Dillon, 147 Devonshire Street, Sydney, New South Wales |
| Enlistment date | 9 January 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 4 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
