| Regimental number | 4203 |
| Place of birth | Portland, Victoria |
| Religion | Roman Catholic |
| Occupation | Engraver |
| Address | 128 Weston Street, Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs E Thorpe, 128 Weston Street, Brunswick, Victoria |
| Enlistment date | 23 July 1915 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 29 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |