| Regimental number | 1056 |
| Religion | Church of England |
| Occupation | Baker and cook |
| Address | Dulwich, South Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs M T Kenny, Williams Avenue, Dulwich, South Australia |
| Enlistment date | 14 September 1914 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/33/6 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Regimental number from Nominal Roll | R1056 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 44th Battalion |
| Fate | Returned to Australia 17 March 1919 |