| Regimental number | 2030 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Kensington, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Lillian Wallis, 110 Rankins Road, Kensington, Melbourne, Victoria |
| Enlistment date | 18 January 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 17 April 1915 |
| Regimental number from Nominal Roll | 4966 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 4 May 1917 |
