| Regimental number | 6874 |
| Place of birth | Nambucca New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Nambucca Heads, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A Ralph, Nambucca Heads, New South Wales |
| Enlistment date | 19 September 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 19 June 1919 |
