| Regimental number | 3921 |
| Place of birth | West Maitland New South Wales |
| Religion | Roman Catholic |
| Occupation | Fireman |
| Address | c/o Mrs Colton Mereweather Street, Mereweather, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs L Sheridan c/o Mrs Colton, Mereweather Street, Mereweather, New South Wales |
| Enlistment date | 17 August 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 59th Railway Company |
| Fate | Returned to Australia 21 June 1919 |
