| Regimental number | 13762 |
| Place of birth | Harden New South Wales |
| Religion | Roman Catholic |
| Occupation | Baker |
| Address | 138 Flood Street, Leichhardt, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs M V Innes, 46 Unwin's Bridge Road, St Peters, New South Wales |
| Enlistment date | 4 September 1916 |
| Rank on enlistment | Private |
| Unit name | Army Service Corps Reinforcement 23 |
| AWM Embarkation Roll number | 25/105/5 |
| 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 | 3rd Field Bakery |
| Fate | Returned to Australia 9 February 1919 |
