| Regimental number | 1997 |
| Place of birth | Waterloo Victoria |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | Mildura, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Ada Lucy Negri, 11 Little Clyde Street, Ballarat North, Victoria |
| Enlistment date | 15 April 1916 |
| Rank on enlistment | Private |
| Unit name | 39th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/56/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 4 December 1918 |
