| Regimental number | 1967 |
| Place of birth | Toowoomba Queensland |
| Religion | Roman Catholic |
| Occupation | Stockman |
| Address | Onslow, Western Australia |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | , Onslow, Western Australia |
| Enlistment date | 4 March 1916 |
| Rank on enlistment | Private |
| Unit name | 51st Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/68/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A48 Seang Bee on 18 July 1916 |
| Regimental number from Nominal Roll | 1967a |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 26 September 1917 |
