| Regimental number | 7786 |
| Place of birth | Mount Morgan Queensland |
| Religion | Roman Catholic |
| Occupation | Concrete worker |
| Address | North Ipswich, Queensland |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs A W Slater, Lennon's Lane, North Ipswich, Queensland |
| Enlistment date | 4 September 1917 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/26/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Regimental number from Nominal Roll | 7786A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 18 December 1918 |