| Regimental number | 621 |
| Place of birth | Albany Western Australia |
| Religion | Roman Catholic |
| Occupation | Farm hand |
| Address | Albany, Western Australia |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Maggie Hines, New Zealand (location unknown) |
| Enlistment date | 24 October 1914 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A52 Surada on 17 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Ordnance Corps |
| Fate | Returned to Australia 2 January 1919 |