| Regimental number | 4953 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 52 Gertrude Street, Fitzroy, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Aunt, Mrs E. Glenn, 52 Gertrude Street, Fitzroy, Victoria |
| Enlistment date | 23 November 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 10 September 1917 |
