| Regimental number | 5627 |
| Place of birth | Ucolta South Australia |
| Religion | Roman Catholic |
| Occupation | Cleaner |
| Address | Murray Bridge, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Annie Nelson, Murray Bridge, South Australia |
| Enlistment date | 15 May 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 28 August 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | Australian Corps Headquarters |
| Fate | Returned to Australia 15 May 1919 |
