| Regimental number | 4963 |
| Place of birth | North Melbourne, Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 4 Herbert Street, Footscray, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs M Graham, 4 Herbert Street, Footscray, Victoria |
| Enlistment date | 12 August 1915 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Division Salvage Company |
| Fate | Returned to Australia 1 May 1919 |
