| Regimental number | 569 |
| Place of birth | Footscray Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | 141 Errol Street, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Step-Father, Henry Driscoll, 141 Errol Street, North Melbourne, Victoria |
| Enlistment date | 13 December 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 10, Reinforcement 8 |
| AWM Embarkation Roll number | 24/15/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on 14 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 27 September 1917 |