| Regimental number | 6767 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Epping Road, Double Bay, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs M Luby, 12 Epping Road, Double Bay, New South Wales |
| Enlistment date | 10 June 1917 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/30/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Port Nicholson on 8 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 31 July 1918 |
