| Regimental number | 7645 |
| Place of birth | Warwick Queensland |
| Religion | Roman Catholic |
| Occupation | Signwriter |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Mother, Mrs C C Gilmore, McLennan Street, Albion, Brisbane, Queensland |
| Enlistment date | 22 February 1917 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/32/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 1 November 1917 |