| Regimental number | 7090 |
| Place of birth | Goulburn New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Rubina Street, Merrylands, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M Bott, Rubina Street, Merrylands, Sydney, New South Wales |
| Enlistment date | 6 March 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| 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 | 2nd Battalion |
| Fate | Returned to Australia 25 November 1917 |
