| Regimental number | 576 |
| Religion | Roman Catholic |
| Occupation | Commercial traveller |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Julia Fallon, Commercial Bank, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Corporal |
| Unit name | 41st Battalion, C Company |
| AWM Embarkation Roll number | 23/58/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on |
| Miscellaneous details (Nominal Roll) | see other |