| Regimental number | 9136A |
| Place of birth | Alexandra Victoria |
| Religion | Roman Catholic |
| Occupation | Signalman railways |
| Address | South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs F Montiford, 433 Dorcas Street, South Melbourne, Victoria |
| Enlistment date | 9 July 1915 |
| Rank on enlistment | Private |
| Unit name | Convalescent Depot, Harefield Park, London, and Special Reinforcements (Feb 1915 - March 1916) |
| Embarkation details | Unit embarked from Melbourne, Vic, on board HMAT A63 Karoola on 1 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian Auxiliary Hospital |
| Fate | Returned to Australia 12 November 1916 |
