| Regimental number | 569 |
| Place of birth | Tweed River New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Murwillumbah, Tweed River, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, M Lee, Burpengary, North west Coast Line, Queensland |
| Enlistment date | 9 November 1914 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/10/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on 21 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a Prov C |
| Fate | Returned to Australia 15 November 1918 |
