| Regimental number | 4090 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Miller's Forest, via Raymond Terrace, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Friend, Mrs Sarah Cork, 36 Briellet Street, Annandale, New South Wales |
| Enlistment date | 5 June 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 7 June 1918 |