| Regimental number | 13687 |
| Place of birth | Gippsland Vic |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Sister, Mrs J Waugh, Sale, Gippsland, Victoria |
| Enlistment date | 28 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 2, Reinforcement 15 |
| AWM Embarkation Roll number | 13/30/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT Malwa on 21 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Fate | Returned to Australia 17 October 1916 |
