| Regimental number | 6167 |
| Place of birth | Cowra New South Wales |
| Religion | Roman Catholic |
| Occupation | Baker |
| Address | 17 Datchett Street, Balmain, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Sarah Florence Hackett, 17 Datchett Street, Balmain, New South Wales |
| Enlistment date | 26 June 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/35/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 26 September 1917 |