| Regimental number | 2003 |
| Place of birth | Bathurst New South Wales |
| Religion | Roman Catholic |
| Address | Ivanhoe, Day Street, Drummoyne, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A Myers, Ivanhoe, Day Street, Drummoyne, New South Wales |
| Enlistment date | 18 January 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 13 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 29 July 1915 |
