| Regimental number | 5973 |
| Place of birth | Albany Western Australia |
| Religion | Roman Catholic |
| Occupation | Driver, horse breaker |
| Address | Elgar Road, Burwood, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Friend, Ernest Emslie, Elgar Road, Burwood, Victoria |
| Enlistment date | 8 March 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 4 May 1917 |
