| Regimental number | 3655 |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Kembla, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M Percell, Kembla, New South Wales |
| Enlistment date | 25 April 1916 |
| Date of enlistment from Nominal Roll | 18 April 1916 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Tunnelling Company |
| Fate | Returned to Australia 13 July 1919 |
