| Regimental number | 4179 |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | Commonwealth Bank of Australia, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs T Smith, Red Hill via Mianburn, New South Wales |
| Enlistment date | 8 July 1915 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 11 January 1918 |