| Regimental number | 5382 |
| Place of birth | Burnt Creek Victoria |
| Religion | Roman Catholic |
| Occupation | Carpenter |
| Address | Aquarium, Exhibition Buildings, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Mr W Anderson, Exhibition Buildings, Melbourne, Victoria |
| Enlistment date | 3 January 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd AC School |
| Fate | Returned to Australia 10 January 1918 |