| Regimental number | 5180 |
| Place of birth | Bega New South Wales |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | c/o Mrs A Capell, Carp Street, Bega, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Friend, Mrs A Capell, Carp Street, Bega, New South Wales |
| Enlistment date | 22 November 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 8 September 1919 |
