| Regimental number | 6903 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Chef |
| Address | Forest Lodge, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Emma Fox, 264 Bridge Road, Forest Lodge, Sydney, New South Wales |
| Enlistment date | 24 August 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
| Regimental number from Nominal Roll | 6905 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 23 September 1918 |
