| Regimental number | 4690 |
| Place of birth | Warrnambool Victoria |
| Religion | Roman Catholic |
| Occupation | Bushman |
| Address | Day Dawn, Western Australia |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Mrs C King, Warrnambool, Victoria |
| Enlistment date | 16 October 1915 |
| Date of enlistment from Nominal Roll | 13 October 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 12 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 11 December 1918 |
