| Regimental number | 1576 |
| Place of birth | Queanbeyan New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Clifford Street, Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Mrs E Bliss, Clifford Street, Goulburn, New South Wales |
| Enlistment date | 29 December 1914 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Seang Choon on 11 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 3 January 1916 |
