| Regimental number | 3410 |
| Place of birth | Wollongong New South Wales |
| Religion | Roman Catholic |
| Occupation | Dyer |
| Address | 34 Euroka Street, North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs A W Seymour, Wymeswald, Little Arthur Street, North Sydney, New South Wales |
| Enlistment date | 3 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 2 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 61st Battalion |
| Fate | Returned to Australia 8 April 1917 |