| Regimental number | 5764 |
| Place of birth | Herberton Queensland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Livingstone Street, Bowen, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A Warner C/o Mrs G Russell, Livingstone Street, Bowen, Queensland |
| Enlistment date | 27 January 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 8 April 1918 |