| Regimental number | 19641 |
| Place of birth | Trinidad British West Indies |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs M Flanagin, The Esplanade, Worthing, Sussex, England |
| Enlistment date | 1 March 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
