| Regimental number | 13189 |
| Place of birth | Broken Hill New South Wales |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Boulder, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs B Sly, 111 Richardson Street, Boulder, Western Australia |
| Enlistment date | 22 January 1916 |
| Date of enlistment from Nominal Roll | 21 January 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A63 Karoola on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Division Sanitation Section |
| Fate | Returned to Australia 1 June 1919 |
| Date of death | 16 October 1963 |
| Place of burial | Fremantle Cemetery |
