| Regimental number | 6775 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | 202 West Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs E Hanson, 202 West Street, North Sydney, New South Wales |
| Enlistment date | 31 July 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 21 July 1917 |
