| Regimental number | 4736 |
| Place of birth | Burwood New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Norwich Street, Burwood, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs M Wallace, Norwich Street, Burwood, New South Wales |
| Enlistment date | 7 January 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 20 November 1918 |
