| Regimental number | 10764 |
| Place of birth | Ballarat, Victoria |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | Plough and Harrow Hotel, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Mrs Lynch, Alfredton, Victoria |
| Enlistment date | |
| Rank on enlistment | Sergeant |
| Unit name | 3rd Divisional Train, 22nd Company, Army Service Corps |
| AWM Embarkation Roll number | 25/16/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 3rd Division Train |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
