| Regimental number | 4512 |
| Place of birth | Camperdown Victoria |
| Religion | Roman Catholic |
| Occupation | Storekeeper |
| Address | 43 Foley Street, Kew, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs Dawban, Camperdown, Victoria |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 4 May 1917 |
