| Regimental number | 6827 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Brighton, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Mary Josephine Holly, 31 Rooding Street, Brighton, Victoria |
| Enlistment date | 30 January 1917 |
| Date of enlistment from Nominal Roll | 13 October 1914 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/40/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 10 January 1918 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
