| Regimental number | 419 |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Post Office, Whim Creek, Western Australia |
| Marital status | Single |
| Age at embarkation | 44 |
| Enlistment date | 10 February 1916 |
| Rank on enlistment | Private |
| Unit name | Mining Corps 1, Company 1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 20 February 1916 |
| Regimental number from Nominal Roll | 409 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Tunnelling Company |
| Fate | Returned to Australia 8 April 1917 |
