| Regimental number | 5634 |
| Place of birth | Ballarat Victoria |
| Religion | Roman Catholic |
| Occupation | Butcher |
| Address | 428 Wellington Street, Clifton Hill, Victoria |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Mother, Mrs Sussanna Mentha, 'Holyrood', Tennyson Street, St Kilda, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
