| Regimental number | 363 |
| Place of birth | Hamley Bridge South Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Beulah, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mrs B Nelson, Beulah, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, C Company |
| AWM Embarkation Roll number | 23/31/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A38 Ulysses on |