| Regimental number | 6406 |
| Religion | Roman Catholic |
| Occupation | Painter |
| Address | 60 Brighton Street, Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs A Palmer, C/o Mrs P O'Brien, 60 Brighton Street, Richmond, Victoria |
| Enlistment date | 18 January 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 7 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 29th Battalion |
| Fate | Returned to Australia 15 November 1917 |
| Date of death | 9 August 1953 |
| Place of burial | Keilor Cemetery |