| Regimental number | 6717 |
| Place of birth | Perth, Western Australia |
| Religion | Roman Catholic |
| Occupation | Survey hand |
| Address | Subiaco, Western Australia |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs E Bagley, 185 York Street, Subiaco, Western Australia |
| Enlistment date | 31 July 1916 |
| Date of enlistment from Nominal Roll | 31 July 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 26 September 1917 |
