| Regimental number | 15519 |
| Place of birth | Johannesburgh South Africa |
| Religion | Roman Catholic |
| Occupation | Wardsman |
| Address | Newtown, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M Jullienne, 20 Hopetoun Street, Newtown, New South Wales |
| Enlistment date | 26 October 1915 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 22 July 1917 |
| Date of death | 23 November 1968 |
| Place of burial | Rookwood Crematorium |
