| Regimental number | 12176 |
| Place of birth | Ipswich Qld |
| Religion | Roman Catholic |
| Occupation | Draper's assistant |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs B Hogan, Thomas Street, Ipswich, Queensland |
| Previous military service | 11th Infantry |
| Enlistment date | 19 January 1916 |
| Rank on enlistment | Private |
| Unit name | Depot Unit of Supply 11 |
| AWM Embarkation Roll number | 25/109/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | No 1 Company, Australian Army Service Corps |
| Fate | Returned to Australia 12 May 1919 |
