| Regimental number | 2630 |
| Date of birth | |
| Place of birth | Mudgee New South Wales |
| Religion | Roman Catholic |
| Occupation | Traveller |
| Address | Kia Ora, Pennant Street, Parramatta, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Mrs N Adcock, Lombard Street, North Parramatta, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 4th Battalion |
| Promotions |
2nd Lieutenant Unit: INF4 Promotion date: Lieutenant Unit: INF4 Promotion date: |
| Fate | Returned to Australia |