| Regimental number | 56375 |
| Place of birth | Gaffneys Creek Victoria |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Geraldton, Western Australia |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Sister, Mrs L Blackman, Ora Banda, Western Australia |
| Enlistment date | 10 November 1917 |
| Rank on enlistment | Private |
| Unit name | Western Australian Reinforcement 2 |
| AWM Embarkation Roll number | 23/111/2 |
| Embarkation details | Unit embarked from Albany, Western Australia, on board HMAT A74 Marathon on 29 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 2 January 1919 |
