| Regimental number | 3255 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Woodford Leigh, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Ellen Frances Poulten, 141 Abercrombie Street, Redfern, New South Wales |
| Enlistment date | 1 June 1917 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/53/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A28 Miltiades on 2 August 1917 |
| Regimental number from Nominal Roll | 3255A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 19 August 1919 |