| Regimental number | 5360 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Turner |
| Address | 8 Williewa Street, Portland, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Mrs Mary J Wade, 77 Randwick Street, Leichhardt, New South Wales |
| Enlistment date | 5 February 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Corps Headquarters |
| Fate | Returned to Australia 12 June 1919 |