| Regimental number | 865 |
| Place of birth | Warrnambool Victoria |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | East St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Miss G Hannan, 423 Inkerman Road, East St Kilda, Victoria |
| Enlistment date | 13 April 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 1st AOCS |
| Fate | Returned to Australia 1 August 1919 |
