| Regimental number | 3057 |
| Place of birth | Forbes New South Wales |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Bogan Gate, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, Mrs Jane Priestly, Bogan Gate, New South Wales |
| Enlistment date | 17 August 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/9/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 22 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 12 June 1919 |