| Regimental number | 21807 |
| Place of birth | Werris Creek New South Wales |
| Religion | Roman Catholic |
| Occupation | Dental mechanic |
| Address | St Leonard's, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, A Gaha, 'Omapere', Lane Cove Road, St Leonards, Sydney, New South Wales |
| Enlistment date | 19 October 1917 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 14 September 1918 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | a Dent Serv |
| Fate | Returned to Australia 26 July 1919 |