| Regimental number | 30091 |
| Date of birth | 2 March 1889/90 |
| Place of birth | South Grafton New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Bent Street, Grafton South, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs A Hawthorne, Bent Street, Grafton South, New South Wales |
| Enlistment date | 8 May 1916 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 3, Reinforcement 22 |
| AWM Embarkation Roll number | 13/31/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A84 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 6 May 1919 |
