| Regimental number | 3523 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Plasterer |
| Address | Morehead Street, Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Miss Ruby May Bevan, 65 Morehead Street, Redfern, New South Wales |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on 5 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 24 August 1918 |
