| Regimental number | 4039 |
| Place of birth | Bunbury Western Australia |
| Religion | Roman Catholic |
| Occupation | Stockrider |
| Address | Geraldton, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs M Smith, Warne Street, Maylands, Western Australia |
| Enlistment date | 8 November 1915 |
| Date of enlistment from Nominal Roll | 30 October 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A31 Ajana on 22 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 20 December 1918 |
