| Regimental number | 4172 |
| Place of birth | Lismore New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs Annie Berry, Ballina PO, Ballina, New South Wales |
| Enlistment date | 8 September 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia 4 June 1919 |
