| Regimental number | 18421 |
| Place of birth | North Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | West Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs M A Stafford, 57 Walsh Street, West Melbourne, Victoria |
| Enlistment date | 16 April 1917 |
| Rank on enlistment | Private |
| Unit name | June 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 9 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia 13 July 1919 |
