| Regimental number | 2550 |
| Place of birth | Dundas Tasmania |
| Religion | Roman Catholic |
| Address | Moonah, Tasmania |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs J J Long, Moonah, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, 1st Reinforcement |
| AWM Embarkation Roll number | 26/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |