| Regimental number | 3693 |
| Place of birth | Dartmoor, Victoria |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Enlistment date | 28 March 1917 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 28th Reinforcement |
| AWM Embarkation Roll number | 10/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia 14 January 1919 |
