| Regimental number | 4174 |
| Place of birth | Rosewater, South Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Cannon Street, Rosewater, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Uncle, Mr C Warner, Cannon Street, Rosewater, South Australia |
| Enlistment date | 24 August 1915 |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 11 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 31 July 1918 |
