| Regimental number | 6995 |
| Place of birth | Maryborough Qld |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Mrs I Pacey, 97 George Street, Rockhampton, Queensland |
| Enlistment date | 23 October 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 30 January 1918 |
