| Regimental number | 649 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Engine driver |
| Address | McKay, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Mrs Thereas Lloyd, Meelee Street, Narrabri West, New South Wales |
| Enlistment date | 9 September 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 14, Reinforcement 11 |
| AWM Embarkation Roll number | 24/19/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 5 July 1919 |
