| Regimental number | 4669 |
| Place of birth | Hillgrove New South Wales |
| Religion | Roman Catholic |
| Occupation | Farm labourer |
| Address | Grenfell, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Grandmother, Mrs Mary Collins, Boxers Creek, Gundaria via Goulburn, New South Wales |
| Enlistment date | 14 June 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
