| Regimental number | 5411 |
| Place of birth | Townsville Queensland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Marian, Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Miss M King, PO, Townsville, Queensland |
| Enlistment date | 25 January 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Division Headquarters |
| Fate | Returned to Australia 20 May 1919 |
