| Regimental number | 4494 |
| Date of birth | |
| Place of birth | Southern Cross, Western Australia |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Stanhope, Branxton, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs C Gollan, Fraser Street, Northam, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Light Horse, February 1918 Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Light Horse Regiment |
| Fate | Returned to Australia |
| Other details |
War service: Western Front |
| Date of death | |
| Age at death | 53 |