| Regimental number | 4201 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 28 Bellevue Street, Surry Hills, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Friend, Emily McKeon, 524 Crown Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | 7 December 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 18 January 1919 |
