| Regimental number | 1763 |
| Religion | Roman Catholic |
| Occupation | Cook and butcher |
| Address | Bowden, South Australia |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Bridget Loose, Gilbert Street, Bowden, South Australia |
| Enlistment date | 28 February 1916 |
| Rank on enlistment | Private |
| Unit name | 48th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/65/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A60 Aeneas on 11 April 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 21 December 1917 |
