| Regimental number | 4882 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Alpine, via Mittagong, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Mrs K Smith, Eleven Mile Camp P O, Alpine, New South Wales |
| Enlistment date | 10 January 1917 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 5 July 1919 |
