| Regimental number | 5378 |
| Place of birth | Waterloo New South Wales |
| Religion | Roman Catholic |
| Occupation | Chief steward |
| Address | 32 Renwick Street, Leichhardt, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs E Forbes, 32 Renwick Street, Leichhardt, New South Wales |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 18 December 1918 |