| Regimental number | 5206 |
| Place of birth | Port Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 160 Stokes Street, Port Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 45 |
| Next of kin | Sister, Miss C Smith, 160 Stokes Street, Port Melbourne, Victoria |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 23 May 1917 |
