| Regimental number | 3623 |
| Place of birth | Warwick Queensland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Cribb Street, Milton, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Matilda Gollan, Cribb Street, Milton, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 47th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/64/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A28 Miltiades on |
| Regimental number from Nominal Roll | 3623A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |