| Regimental number | 642 |
| Place of birth | Omeo Victoria |
| Religion | Roman Catholic |
| Occupation | Engine driver |
| Address | Esk, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs A Gordon, 58 Fitzwilliam Street, Kew, Victoria |
| Enlistment date | 23 November 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 2, Reinforcement 11 |
| AWM Embarkation Roll number | 24/7/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Company |
| Fate | Returned to Australia 27 September 1917 |
