| Regimental number | 60568 |
| Place of birth | Molong New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Surry Hills, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs S M Owens, 542 Bourke Street, Surry Hills, New South Wales |
| Enlistment date | 11 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 17 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on 4 September 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th General Service Reinforcements |
| Fate | Returned to Australia 22 December 1918 |
