| Regimental number | 5676 |
| Place of birth | Cootamundra New South Wales |
| Religion | Roman Catholic |
| Address | Combleving Homestead, Cootamundra Road via Temora, New South Wales |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Sister, Mary Hawkins, Combleving Homestead, Cootamundra Road via Temora, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/35/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |