| Regimental number | 4975 |
| Religion | Roman Catholic |
| Occupation | Sailor |
| Address | 75 Hambleton Street, Albert Park, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Le Blanc, 75 Hambleton Street, Albert Park, Victoria |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 12 May 1919 |
