| Regimental number | 756 |
| Place of birth | Derby Tasmania |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 65 Belmont Street, South Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, M Grace, Derby, Tasmania |
| Enlistment date | 5 April 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 2, Reinforcement 14 |
| AWM Embarkation Roll number | 24/7/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
