| Regimental number | 6375 |
| Place of birth | Mundaing Western Australia |
| Religion | Roman Catholic |
| Occupation | Mill hand |
| Address | Bunbury, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs S Kays, Argyle PO via Donnybrook, Western Australia |
| Enlistment date | 12 April 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A46 Clan Macgillivray on 18 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 18 December 1918 |