| Regimental number | 61648 |
| Place of birth | Piggoreet Victoria |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Manangatang, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs C Lyons, Manangatang PO, Manangatang, Victoria |
| Enlistment date | 18 June 1918 |
| Rank on enlistment | Private |
| Unit name | 12th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 31 August 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 24 January 1919 |
