| Regimental number | 4458 |
| Place of birth | Toowoomba Queensland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Pingelly, Western Australia |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs Lucy Phillips, Auckland, New Zealand |
| Enlistment date | 28 February 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 3 July 1917 |
