| Regimental number | 775 |
| Place of birth | Kilmore Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Sister, Mrs Margaret Evans, Quairading, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/33/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 16th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 31 Date: |
| Other details |
War service: Egypt, Gallipoli, Western Front Medals: Military Medal, 1914-15 Star, British War Medal, Victory Medal |