| Regimental number | 16219 |
| Place of birth | Rhode Island USA |
| Religion | Roman Catholic |
| Occupation | Master mariner |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Sister, Mrs Pauline Mayer, 108 Louisa Road, Long Nose Point, Sydney, New South Wales |
| Enlistment date | 10 July 1916 |
| Date of enlistment from Nominal Roll | 6 July 1916 |
| Rank on enlistment | Sapper |
| Unit name | November 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 12th Field Company Engineers |
| Fate | Returned to Australia 21 March 1919 |