| Regimental number | 53456 |
| Place of birth | Five Dock New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs B Kerim, Campbell Street, North Sydney, New South Wales |
| Enlistment date | 2 March 1918 |
| Date of enlistment from Nominal Roll | 3 February 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 3 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 31 March 1919 |
