| Regimental number | 6578 |
| Place of birth | Windsor Victoria |
| Religion | Roman Catholic |
| Occupation | Hairdresser |
| Address | Riverstone, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister, Mrs I Hosford, Gulgong Hotel Bourke Street, Darlinghurst, New South Wales |
| Enlistment date | 22 December 1916 |
| Date of enlistment from Nominal Roll | 19 December 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 10 January 1918 |
