| Regimental number | 4190 |
| Place of birth | Warwick Queensland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Bowaville, Nambucca River, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, Mrs E Kiley, Sandgate, Brisbane, Queensland |
| Enlistment date | 30 October 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 13 February 1917 |
