| Regimental number | 9106 |
| Place of birth | Vizianagram India |
| Religion | Roman Catholic |
| Occupation | Masseur |
| Address | Prahran, Victoria |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs E Quinn, 63 Greville Street, Prahran, Victoria |
| Enlistment date | 12 November 1915 |
| Date of enlistment from Nominal Roll | 3 November 1915 |
| Rank on enlistment | Staff Sergeant |
| Unit name | First Australian General Hospital, Special Reinforcements |
| AWM Embarkation Roll number | 26.65.3RSSPEC |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 12 November 1915 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 3rd Australian Auxiliary Hospital |
| Fate | Returned to Australia 31 March 1919 |