| Regimental number | 3179 |
| Place of birth | Adelaide South Australia |
| Religion | Methodist |
| Occupation | Mechanic |
| Address | 140 Rose Terrace, Wayville, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Ellen Jose, 140 Rose Terrace, Wayville, South Australia |
| Enlistment date | |
| Rank on enlistment | PTE (A/CPL) |
| Unit name | 27th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/44/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Motor Transport Company |
| Fate | Effective abroad (still overseas) |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |