| Regimental number | 19559 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Cigar maker |
| Address | Collingwood, Victoria |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs F McKimm, 1 Francis Street, Collingwod, Victoria |
| Enlistment date | 10 February 1917 |
| Date of enlistment from Nominal Roll | 10 March 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia 9 March 1919 |
