| Regimental number | 5786 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Seaman |
| Address | 177 Kent Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Friend, M Shanahan, 177 Kent Street, Sydney, New South Wales |
| Enlistment date | 15 February 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A46 Clan Macgillivray on 3 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 25 August 1917 |
