| Regimental number | 1062 |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, G Company |
| AWM Embarkation Roll number | 23/21/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A14 Euripides on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Rookwood Necropolis |