| Regimental number | 3361 |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Strathfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs E Rose, Torrington Road, Strathfield, New South Wales |
| Enlistment date | 15 April 1916 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 2 June 1919 |
