| Regimental number | 5625 |
| Place of birth | Port Adelaide South Australia |
| Religion | Presbyterian |
| Occupation | Lumper |
| Address | North Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Friend, Mrs Emma O'Bryne, Swan Street, North Fremantle, Western Australia |
| Enlistment date | 5 April 1916 |
| Date of enlistment from Nominal Roll | 15 March 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A52 Surada on 26 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 22 July 1917 |
