| Regimental number | 3504 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Storeman |
| Address | Granville, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Mary Masters, c/o Mrs McCourt, Good Street, Granville, New South Wales |
| Enlistment date | 8 June 1917 |
| Date of enlistment from Nominal Roll | 9 May 1917 |
| Rank on enlistment | Private |
| Unit name | June 1917 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia 24 July 1919 |
