| Regimental number | 2623 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Wayville, South Australia |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Brother, Arthur John Jose, Rose Terrace, Wayville, South Australia |
| Enlistment date | 13 April 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 8th Reinforcement |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 2 September 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 12 November 1916 |
| Date of death | 12 August 1963 |
