| Regimental number | 4095 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | 53 Despointes Street, Marrickville, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs D Tierney, Chislehurst, 53 Despointes Street, Marrickville, New South Wales |
| Enlistment date | 15 December 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia 16 January 1919 |
