| Regimental number | 1964 |
| Place of birth | Glebe New South Wales |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | 8 Lyndhurst Street, Glebe, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs. M.Illingworth, 8 Lyndhurst Street, Glebe, Sydney, New South Wales |
| Enlistment date | 12 January 1915 |
| Date of enlistment from Nominal Roll | 14 January 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/18/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 2 January 1919 |
