| Regimental number | 7110 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Fireman |
| Address | 202 Queensberry Street, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs E Adderley, 48 Hotham Street, Collingwood, Victoria |
| Enlistment date | 13 October 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 16 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 22 July 1917 |
