| Regimental number | 2917 |
| Place of birth | Forbes New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 13 Wells Street, Annandale, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Mrs Annie Warren, 13 Wells Street, Annandale, New South Wales |
| Enlistment date | 26 May 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/72/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 23 June 1919 |