| Regimental number | 1703 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Wentworth PO, Wentworth, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E Balchin, Wentworth PO, Wentworth, New South Wales |
| Enlistment date | 16 January 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on 1 April 1915 |
| Regimental number from Nominal Roll | 2781 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Division Artillery |
| Fate | Returned to Australia 5 July 1915 |
