| Regimental number | 9843 |
| Place of birth | Fremantle Western Australia |
| Religion | Roman Catholic |
| Occupation | Carpenter |
| Address | Martha Street, East Guildford, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Annie Roach, Martha Street, East Guildford, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 16 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |