| Regimental number | 5402 |
| Place of birth | St Arnaud Victoria |
| Religion | Roman Catholic |
| Occupation | Dental mechanic |
| Address | 2 Budd Street, Collingwood, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Annie Roche, 2 Budd Street, Collingwood, Victoria |
| Enlistment date | 7 March 1918 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 4 December 1918 |
