| Regimental number | 5383 |
| Place of birth | New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Obi Obi via Nambour, Queensland |
| Marital status | Widower |
| Age at embarkation | 37 |
| Next of kin | Father, Mr P Fox, Eumundi, North Coast Line, Queensland |
| Enlistment date | 18 January 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | amv Section |
| Fate | Returned to Australia 20 June 1919 |