| Regimental number | 4143 |
| Place of birth | Parramatta New South Wales |
| Religion | Roman Catholic |
| Occupation | Tailor |
| Address | Tasma Fletcher Street, Woollahra, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Sister, Miss E Collins, Tasma Fletcher Street, Woollahra, Sydney, New South Wales |
| Enlistment date | 18 October 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 19 October 1917 |