| Regimental number | 5763 |
| Religion | Roman Catholic |
| Occupation | Factory worker |
| Address | Waterloo, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Cousin, Mrs E M Myers, Moria Cottage, Kellick Street, Waterloo, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Tunnelling Companies |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |