| Regimental number | 15533 |
| Place of birth | Port Cygnet Tasmania |
| Religion | Roman Catholic |
| Occupation | Hospital attendant |
| Address | Box Hill, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs M G Grace, Doncaster Road, Box Hill, Victoria |
| Enlistment date | 3 January 1916 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia 19 June 1919 |
