| Regimental number | 3110 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Wollongong, New South Wales |
| Marital status | Widower |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Ellen Tollen, Mangerton Estate, Wollongong, New South Wales |
| Enlistment date | 9 November 1916 |
| Rank on enlistment | Private |
| Unit name | 45th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/62/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 21 December 1917 |