| Regimental number | 6894a |
| Place of birth | Werribee Victoria |
| Religion | Roman Catholic |
| Occupation | Railway employee |
| Address | 34 Curzon Street, North Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs A Jordan, 232 Pelham Street, North Carlton, Victoria |
| Enlistment date | 22 August 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Regimental number from Nominal Roll | 6894 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 15 February 1918 |
