| Regimental number | 5117 |
| Religion | Roman Catholic |
| Occupation | Farm labourer |
| Address | Kangaroo Flat, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, J Kairns, Kangaroo Flat, Bendigo, Victoria |
| Enlistment date | 13 January 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 8 April 1917 |
