| Regimental number | 4103 |
| Place of birth | Toongabbie Victoria |
| Religion | Roman Catholic |
| Occupation | Stevedore |
| Address | Coburg, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Norah Ellen Wellington, 13 The Avenue, Coburg, Victoria |
| Enlistment date | 23 October 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 32nd Reinforcement |
| AWM Embarkation Roll number | 10/9/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 2 February 1918 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Returned to Australia 16 January 1919 |