| Regimental number | 2213 |
| Place of birth | Bathurst New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Bathurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs Mary Rogers, 111 Havannah Street, Bathurst, New South Wales |
| Enlistment date | 12 April 1916 |
| Rank on enlistment | Private |
| Unit name | 54th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/71/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A42 Boorara on 19 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 23 June 1919 |
