| Regimental number | 5625 |
| Place of birth | Hobart Tasmania |
| Religion | Roman Catholic |
| Occupation | Butcher |
| Address | 57 Bridge Road, Glebe, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Emily Madeline Rose, Banksia Road, near High View Avenue, Bankstown, New South Wales |
| Enlistment date | 5 March 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 4 June 1919 |