| Regimental number | 2378 |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | 78 Curzon Street, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs C Kelly, 78 Curzon Street, North Melbourne, Victoria |
| Enlistment date | 18 January 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/24/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 16 July 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
