| Regimental number | 191 |
| Place of birth | Newcastle New South Wales |
| Religion | Roman Catholic |
| Occupation | Engineer |
| Address | Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Catherine Rice, 128 Livingstone Road, Marrickville, New South Wales |
| Enlistment date | 17 January 1917 |
| Rank on enlistment | Private |
| Unit name | Section 1 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 6th Broad Gauge Railway Operating Company |
| Fate | Returned to Australia 1 August 1919 |
