| Regimental number | 6038 |
| Place of birth | Wyalong New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Murwillumbah, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Friend, Sydney Rock, Tara, Tweed River, New South Wales |
| Enlistment date | 28 September 1916 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/42/5 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A75 Marathon on 27 October 1916 |
| Fate | No details of fate entered on Nominal Roll |