| Regimental number | 4375 |
| Place of birth | Young New South Wales |
| Religion | Roman Catholic |
| Occupation | Lorry driver |
| Address | Albury, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Myra Grace Hayes, Hurn Street, Albury, New South Wales |
| Enlistment date | 13 July 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 11 May 1919 |