| Regimental number | 7063 |
| Place of birth | Ballarat Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | PO, Dubbo, New South Wales |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Friend, Mrs Kelly, Hotelkeeper, Dubbo, New South Wales |
| Enlistment date | 24 October 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 27 July 1917 |
