| Regimental number | 1965 |
| Place of birth | Mungindi Queensland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Sandgate, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Aunt, Mrs Raymond, 21 Murray Street, Rockhampton, Queensland |
| Enlistment date | 4 February 1916 |
| Rank on enlistment | Private |
| Unit name | 47th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/64/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 1 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 5 September 1919 |
