| Regimental number | 2567 |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Fisher's Hill via Vacey, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Friend, Mrs Catharine Brodie, Cooper's Flat, Fisher's Hill, New South Wales |
| Enlistment date | 21 July 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
