| Regimental number | 5097 |
| Place of birth | North Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Crow's Nest, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs Margaret Smith, 37 Haybery Street, Crows Nest, North Sydney, New South Wales |
| Enlistment date | 14 January 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A48 Seang Bee on 18 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 11 December 1918 |
