
| Regimental number | 5810 |
| Place of birth | Christchurch New Zealand |
| Religion | Church of England |
| Occupation | Cooks assistant |
| Address | c/o Mrs E Donoghue, 18 Islington Street, Collingwood, Victoria |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, Mrs Ellen Simmons, 48 Downee Street, Collingwood, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |