| Regimental number | 5203 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Dubbo, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs A Fuller, Grosvenor Road, Hurstville, New South Wales |
| Enlistment date | 19 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | July 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on 19 July 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia 27 September 1917 |