| Regimental number | 2640 |
| Place of birth | Daylesford Victoria |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Moss Vale House Hay Street, East Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs H Mazza, Moss Vale House Hay Street, East Perth, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/28/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Company Engineers |
| Recommendations (Medals and Awards) |
Mention in Despatches Not awarded. Recommendation date: |
| Fate | Returned to Australia |