| Regimental number | 3929 |
| Place of birth | Campbelltown New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Gundurimba, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Mrs Rose Lusted, 'Roseville', Audley Street, Petersham, New South Wales |
| Enlistment date | 4 January 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 14/13/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
