| Regimental number | 5630 |
| Place of birth | Moonee Ponds Victoria |
| Religion | Roman Catholic |
| Occupation | Farm hand |
| Address | Northam, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Elizabeth Lilley, Kiama, New South Wales |
| Enlistment date | 6 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 24 December 1918 |
