| Regimental number | 5230 |
| Place of birth | Goulburn New South Wales |
| Religion | Roman Catholic |
| Occupation | Painter |
| Address | Lincoln Street, Campsie, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs F M Sutcliffe, Lincoln Street, Campsie, New South Wales |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 27 August 1917 |
