| Regimental number | 6276 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Wood cutter |
| Address | 74 Cheetham Street, Kalgoorlie, Western Australia |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs W M Jarrett, 74 Cheetham Street, Kalgoorlie, Western Australia |
| Enlistment date | 14 March 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A46 Clan Macgillivray on 18 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 8 August 1918 |
