| Regimental number | 1350 |
| Religion | Protestant |
| Occupation | Labourer |
| Address | Beryl Street, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | J Kenny, Allansford, Victoria |
| Enlistment date | 4 December 1914 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A50 Itonus on 15 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 4 May 1917 |
