| Regimental number | 286 |
| Place of birth | Clermont Queensland |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Flinders Street, Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Friend, W G Mongenin, Friezland, Cloncurry, Queensland |
| Enlistment date | 11 March 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 12, Reinforcement 3 |
| AWM Embarkation Roll number | 24/17/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 1 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 4 May 1917 |