
| Date of birth | |
| Religion | Roman Catholic |
| Occupation | Orchardist |
| Address | Bacchus Marsh, Victoria |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Mrs K. Vallence, Bacchus Marsh, Victoria |
| Rank on enlistment | Lieutenant |
| Unit name | 4th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Promotions |
Lieutenant Unit: Anzac Light Horse Promotion date: |
| Fate | Returned to Australia |