| Regimental number | 5284 |
| Place of birth | Nevertire New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs. Alice Jeffery, c/o Alfred Jeffery, Empire Hotel, Fortitude Valley, Queensland |
| Enlistment date | 23 November 1917 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/48/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on 2 March 1918 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Effective abroad (still overseas) |
