| Regimental number | 6324 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Lilydale PO, Lilydale, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Rose Guillerme, 4 Robbs Parade, Northcote, Victoria |
| Enlistment date | 24 October 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 4 June 1919 |