| Regimental number | 6126 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Tailor |
| Address | 40 Shepherd Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Mrs Catherine McCall, 205 Moray Street, South Melbourne, Victoria |
| Enlistment date | 3 August 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 27 August 1917 |
