| Regimental number | 9810 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Wilgar Park, Gunbar, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, T Storey, Wilgar Park, Gunbar, New South Wales |
| Enlistment date | 4 August 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/30/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Port Nicholson on 8 November 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
