| Regimental number | 693 |
| Place of birth | Mouscron Belgium |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Charters Towers, Queensland |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Friend, Hamilton Irwin, Mount Elliott, Queensland |
| Enlistment date | 16 January 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 13, Reinforcement 12 |
| AWM Embarkation Roll number | 24/18/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 28 March 1919 |
