| Regimental number | 4966 |
| Place of birth | London England |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | 25 Napier Street, Darlinghurst, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs E Merrell, 25 Napier Street, Darlinghurst, New South Wales |
| Enlistment date | 7 July 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Pay Corps |
| Fate | Returned to Australia 18 January 1919 |