| Regimental number | 9904 |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | 30 May Street, Annandale, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs M Fernyhough, 30 May Street, Annandale, New South Wales |
| Enlistment date | 22 October 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 1, Reinforcement 13 |
| AWM Embarkation Roll number | 13/29/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 17 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
