| Regimental number | 2430 |
| Place of birth | North Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Mis Catherine Waters, 56 Chetwynd Street, North Melbourne, Victoria |
| Enlistment date | 15 July 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on 29 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia 21 July 1917 |
