| Regimental number | 6221 |
| Place of birth | London, England |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs M Balman, 24 Rouel Road, Bermondsey, London, SE, England |
| Enlistment date | 16 August 1915 |
| Date of enlistment from Nominal Roll | 16 August 1915 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 11 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 22 August 1919 |
