| Regimental number | 3384 |
| Place of birth | Moonta South Australia |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | 48 Dwyer Street, Boulder City, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M Jose, 48 Dwyer Street, Boulder City, Western Australia |
| Enlistment date | 29 July 1915 |
| Date of enlistment from Nominal Roll | 20 July 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 2 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 16 March 1918 |
| Date of death | 28 June 1962 |
| Place of burial | Fremantle Cemetery |
