| Regimental number | 7490 |
| Place of birth | Carlton Vic |
| Religion | Roman Catholic |
| Occupation | Plumber |
| Address | Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs J Henry, 44 Westgarth Street, Northcote, Victoria |
| Enlistment date | 27 January 1917 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/20/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Depot Unit of Supply |
| Fate | Returned to Australia 4 January 1919 |
