| Regimental number | 4787 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Clara R Gallyot, 20 Poplar Place Moscow Road, Bayswater W, England |
| Enlistment date | 15 November 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 1 February 1918 |
