| Regimental number | 7126 |
| Place of birth | Maryborough Queensland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Bundaberg, Queensland |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs H Butterworth, Maryborough Road, Bundaberg, Queensland |
| Enlistment date | 18 October 1917 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/42/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 12 May 1918 |