| Regimental number | 612 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Butcher |
| Address | 312 Livingstone Road, Marrickville, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Mrs Blanche Stone, 312 Livingstone Road, Marrickville, Sydney, New South Wales |
| Enlistment date | 1 May 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 13, Reinforcement 10 |
| AWM Embarkation Roll number | 24/18/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on 14 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 12 May 1919 |