| Regimental number | 5027 |
| Place of birth | Paddington New South Wales |
| Religion | Roman Catholic |
| Occupation | Mercer |
| Address | Mort Street, Lithgow, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Harman, Mort Street, Lithgow, New South Wales |
| Enlistment date | 3 January 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 5 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 30 January 1918 |
