| Regimental number | 1975 |
| Place of birth | Yass New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Cootamundra, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, Mrs Minnie Sedgwick, Hovell Street, Cootamundra, New South Wales |
| Enlistment date | 15 February 1916 |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/73/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A37 Barambah on 23 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 12 June 1919 |