| Regimental number | 5139 |
| Place of birth | Toowoomba Queensland |
| Religion | Roman Catholic |
| Occupation | Hod carrier |
| Address | 10 Centre Street, Redfern, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mrs. W. Fulton, 10 Centre Street, Redfern, Sydney, New South Wales |
| Enlistment date | 17 January 1916 |
| Date of enlistment from Nominal Roll | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 5 March 1919 |