| Regimental number | 5516 |
| Place of birth | Port Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Marine engineer |
| Address | 142 Clark Street, Port Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs M Stafford, 142 Clark Street, Port Melbourne, Victoria |
| Enlistment date | 3 May 1915 |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 6,Field Ambulance 6, Reinforcement 4 |
| AWM Embarkation Roll number | 26/49/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Star Of Victoria on 10 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia 4 June 1919 |
