| Regimental number | 4782 |
| Place of birth | Learmonth Victoria |
| Religion | Roman Catholic |
| Occupation | Dock labourer |
| Address | 10 Buckhurst Street, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs L Fraser 10 Buckhurst Street, South Melbourne, Victoria |
| Enlistment date | 2 October 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 8 April 1917 |
