| Regimental number | 504 |
| Place of birth | Parkes N/A |
| Religion | Roman Catholic |
| Occupation | Painter |
| Address | 85 Metropolitan Road, Enmore, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Emma Norton, 85 Metropolitan Road, Enmore, Sydney, New South Wales |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, B Company |
| AWM Embarkation Roll number | 14/15/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 6 June 1916 |
| Miscellaneous details (Nominal Roll) | missing page |
