| Regimental number | 3054 |
| Place of birth | Bathurst New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Albion, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Lavinia Hulcombe, Grove Street, Albion, Queensland |
| Enlistment date | 4 January 1917 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/59/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Trench Mortar Battery |
| Fate | Returned to Australia 17 March 1919 |