| Regimental number | 3969 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Yarraville, Victoria |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mother, Mrs J Richards, Castlemaine Street, Yarraville, Victoria |
| Enlistment date | 23 March 1916 |
| Rank on enlistment | Sapper |
| Unit name | No 4 Tunnelling Company and 1st Reinforcements (May 1916) |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 25 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |