| Regimental number | 6686 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Ararat, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, P Egan, Hospital for Insane, Ararat, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/44/5 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on |
| Miscellaneous details (Nominal Roll) | crossed out on NR |