| Regimental number | 4004 |
| Place of birth | Seacombe England |
| Religion | Roman Catholic |
| Occupation | Traveller |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs M Hyland, Laurclis, St George S Avenue, Wolastanton, Stoke on Trent, England |
| Enlistment date | 2 March 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/24/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 12 November 1916 |
