| Regimental number | 18525 |
| Place of birth | London England |
| Religion | Roman Catholic |
| Occupation | Attendant |
| Address | Clarement, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs J Molloy, 34 Adelaide Street, Fremantle, Western Australia |
| Enlistment date | 5 June 1917 |
| Date of enlistment from Nominal Roll | 28 May 1917 |
| Rank on enlistment | Private |
| Unit name | July 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 21 July 1918 |