| Regimental number | 7364 |
| Place of birth | Cooma New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Cootamundra, New South Wales |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs J Jones, Parker Street, Cootamundra, New South Wales |
| Enlistment date | 17 February 1917 |
| Date of enlistment from Nominal Roll | 26 February 1917 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 24th Reinforcement |
| AWM Embarkation Roll number | 23/20/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Macgillivray on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 25 August 1917 |