| Regimental number | 430 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Botany, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Aunt, Mrs Peresa Keys, 27 Waterloo Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | 15 May 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 9, Reinforcement 5 |
| AWM Embarkation Roll number | 24/14/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 10 December 1918 |
