| Regimental number | 1164 |
| Religion | Roman Catholic |
| Occupation | Painter |
| Address | Namoi Street, Lithgow, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs Jebbett, Namoi Street, Lithgow, New South Wales |
| Enlistment date | 28 September 1914 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 1st Reinforcement |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia 29 July 1915 |
| Miscellaneous details (Nominal Roll) | 2nd Bn |