| Regimental number | 4769 |
| Place of birth | Beechworth Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 245 Burnley Street, Burnley, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Florence N McIntyre, 245 Burnley Street, Burnley, Victoria |
| Enlistment date | 16 February 1916 |
| Date of enlistment from Nominal Roll | 31 January 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia 22 July 1917 |
| Miscellaneous details (Nominal Roll) | 22nd Bn |