| Regimental number | 29176 |
| Place of birth | Goulburn New South Wales |
| Religion | Roman Catholic |
| Occupation | Iron pipe dresser |
| Address | Mutual Road, Mortdale, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs M A Weatherby, Mutual Road, Mortdale, New South Wales |
| Enlistment date | 1 August 1916 |
| Date of enlistment from Nominal Roll | 22 July 1916 |
| Rank on enlistment | Driver |
| Unit name | Howitzer Brigade 116 |
| AWM Embarkation Roll number | 13/136/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 1st Division Artillery Headquarters |
| Fate | Returned to Australia 12 June 1919 |
