| Regimental number | 6927A |
| Place of birth | Ballarat Victoria |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | Charleville, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Friend, Henry Koch, Telegraph Hotel, Charleville, Queensland |
| Enlistment date | 29 January 1917 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/42/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Regimental number from Nominal Roll | 6996 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 3 May 1919 |
