| Regimental number | 6183 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Carter |
| Address | 8 Moorhead Street, Waterloo, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Friend, Mrs Marai Arbuckle, 8 Moorehead Street, Waterloo, Sydney, New South Wales |
| Enlistment date | 12 October 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 31 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 4 May 1917 |