| Regimental number | 2641 |
| Place of birth | Leichhardt New South Wales |
| Religion | Roman Catholic |
| Occupation | Painter |
| Address | 26 Stanley Street, Leichhardt, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Elizabeth Fraser, 26 Stanley Street, Leichhardt, New South Wales |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 22 May 1919 |