| Regimental number | 5083 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Sawyer |
| Address | 21 Pacific Parade, Manly, New South Wales |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Sister-in-Law, Mrs M Oliver, 21 Pacific Parade, Manly, New South Wales |
| Enlistment date | 18 October 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 5 April 1917 |
