
| Regimental number | 4001 |
| Place of birth | Bathurst New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 22 Pemell Street, Enmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Mrs Mary Bringolf, 173 Williams Street, Bathurst, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |