| Regimental number | 5869 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Ernest Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father |
| Enlistment date | 6 April 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/35/3 |
| 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 | 18th Battalion |
| Fate | Returned to Australia 9 February 1919 |