| Regimental number | 801 |
| Place of birth | Christchurch New Zealand |
| Religion | Roman Catholic |
| Occupation | Seaman |
| Address | c/o Miss C Bull, 16 Berry Street, Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister, Mrs M Stewart, 27 St Asaph Street West, Christchurch, New Zealand |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 2, Reinforcement 15 |
| AWM Embarkation Roll number | 24/7/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | a Prov C |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 61 Date: |