| Regimental number | 3612 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Carter |
| Address | c/o R Johnson Caretaker of Magazines, Goat Island Sydney Harbor, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, Miss E Summers c/o R Johnson Caretaker of Magazines, Goat Island, Sydney Harbor, New South Wales |
| Enlistment date | 25 August 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 8 April 1919 |