| Regimental number | 9761 |
| Place of birth | Camden New South Wales |
| Religion | Roman Catholic |
| Occupation | Signwriter |
| Address | Manly, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs N M Hardge, 'Natelle', 110 Addison Road, Manly, New South Wales |
| Enlistment date | 15 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 16 |
| AWM Embarkation Roll number | 26/44/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 5 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 15 May 1919 |
