| Regimental number | 2905 |
| Place of birth | Tambaroora New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Portland, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs Mary Gaynon, Hill End, New South Wales |
| Enlistment date | 25 September 1916 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/75/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 5 July 1919 |
