| Regimental number | 4036 |
| Place of birth | Orange New South Wales |
| Religion | Roman Catholic |
| Occupation | Mill hand |
| Address | Kimberley Road, Hurstville, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Foster-Mother, Mrs N Jasperson, Toxteth, Kimberley Road, Hurstville, New South Wales |
| Enlistment date | 11 September 1915 |
| Date of enlistment from Nominal Roll | 4 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Mooltan on 11 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 19 February 1919 |
| Date of death | 11 December 1966 |
| Place of burial | Newcastle Memorial Park Cemetery & Crematorium |
