| Regimental number | 1404 |
| Place of birth | Port Augusta South Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Mrs Capper, Beaconsfield, Fullarton, New South Wales |
| Enlistment date | 8 December 1914 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/33/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Mcgillivray on 2 February 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 11th Field Artillery Brigade |
| Fate | Returned to Australia 2 January 1919 |
