| Regimental number | 4742 |
| Place of birth | Nimmitabel New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs K McDonald, Lismore, New South Wales |
| Enlistment date | 27 January 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 31 December 1918 |
