| Regimental number | 5410 |
| Place of birth | Queanbeyan New South Wales |
| Religion | Roman Catholic |
| Occupation | Station hand |
| Address | Queanbeyan, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M Merrit, Tharwa, via Queanbeyan, New South Wales |
| Enlistment date | 26 December 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 2 March 1919 |