| Regimental number | 2383 |
| Religion | Roman Catholic |
| Occupation | Engine driver |
| Address | Forbes, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Fanny Martin, Forbes PO, Forbes, New South Wales |
| Enlistment date | 4 April 1917 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/17/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A55 Kyarra on 7 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia 17 July 1919 |
