| Regimental number | 4386 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Butcher |
| Address | Hurstville, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Mary Martin, Forrest Road, Hurstville, Sydney, New South Wales |
| Enlistment date | 18 September 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 25 September 1919 |