| Regimental number | 3902 |
| Place of birth | Balmain New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs Coss, Cornwall Street, Redfern, Sydney, New South Wales |
| Enlistment date | 28 July 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/26/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia 24 August 1918 |