| Regimental number | 1658 |
| Place of birth | Chiltern, Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Chiltern, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Theodore Bernard, Chiltern, Victoria |
| Enlistment date | 31 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | 2nd Pioneer Battalion, Reinforcement 2 |
| AWM Embarkation Roll number | 14/14/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 8 April 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia 13 February 1917 |
