| Regimental number | 4217 |
| Religion | Roman Catholic |
| Occupation | Wire maker |
| Address | 26 Bendigo Street, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Grandparent, Elizabeth Dalton, Glass Street, North Melbourne, Victoria |
| Enlistment date | 15 September 1915 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| 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 | Australian Army Medical Corps Details |
| Fate | Returned to Australia 27 July 1917 |
