| Regimental number | 4562 |
| Place of birth | York Western Australia |
| Religion | Roman Catholic |
| Occupation | Permanent way ganger |
| Address | York, Western Australia |
| Marital status | Widower |
| Age at embarkation | 45 |
| Next of kin | Daughter, Mrs A Fuller, Woodside via York, Western Australia |
| Enlistment date | 22 October 1915 |
| Date of enlistment from Nominal Roll | 5 October 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 12 February 1916 |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia 21 May 1917 |
| Miscellaneous details (Nominal Roll) | 51st Bn |