| Regimental number | 1790 |
| Place of birth | Broken Hill New South Wales |
| Religion | Wesleyan |
| Occupation | Grocer |
| Address | Guildlford Road, Binswood, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mrs P D Mulligan, Guildford Road, Binswood, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A9 Shropshire on |
| Regimental number from Nominal Roll | 1769 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 31 Date: |