| Regimental number | 4295 |
| Place of birth | Yarra Glen, Victoria |
| Religion | Roman Catholic |
| Occupation | Railman |
| Address | Yarra Glen, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs M Petty, Yarra Glen, Victoria |
| Enlistment date | 24 July 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 29 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 11 April 1916 |
