| Regimental number | 6628 |
| Religion | Roman Catholic |
| Occupation | Farm labourer |
| Address | Collendina Station via Corowa, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs B Fraser, Boorhaman, Victoria |
| Enlistment date | 5 July 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
