| Regimental number | 20911 |
| Place of birth | Newcastle New South Wales |
| Religion | Roman Catholic |
| Occupation | Groom |
| Address | Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Friend, Rev Father Cahill, Bourke Street, Goulburn, New South Wales |
| Enlistment date | 18 June 1917 |
| Rank on enlistment | Sapper |
| Unit name | October 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Machine Gun Battalion Details |
| Fate | Returned to Australia 12 May 1919 |
