| Regimental number | 3415 |
| Place of birth | Newcastle New South Wales |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Mary Ingham, 32 Bolton Street, Newcastle, New South Wales |
| Enlistment date | 21 December 1916 |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/73/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Regimental number from Nominal Roll | 3415A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia 3 July 1919 |