| Regimental number | 6130 |
| Place of birth | Bathurst New South Wales |
| Religion | Roman Catholic |
| Occupation | Pipe moulder |
| Address | 191 Johnston Street, Annandale, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Catherine Maud Sallon King, 191 Johnson Street, Annandale, New South Wales |
| Enlistment date | 9 September 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/37/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 31 January 1918 |
