| Regimental number | 6786 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Butcher |
| Address | c/o Mrs H Jackson, Carrington Street, Parramatta, New South Wales |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Mrs A F Riley, c/o Mrs H Jackson, Carrington Street, Matta, New South Wales |
| Enlistment date | 17 July 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Machine Gun Battalion Details |
| Fate | Returned to Australia 19 October 1918 |
