| Regimental number | 67821 |
| Place of birth | Bombala New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Humeinn Farm, Yass, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs A Beveridge, Humeinn Farm, Yass, New South Wales |
| Enlistment date | 23 August 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 27 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Fate | No details of fate entered on Nominal Roll |
