| Regimental number | 6572 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Seaman |
| Address | 9 Comber Street, Paddington, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Aunt, H. Bolton, 9 Comber Street, Paddington, Sydney, New South Wales |
| Enlistment date | 16 March 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 6 June 1918 |
