| Regimental number | 5967 |
| Place of birth | Richmond Victoria |
| Religion | Roman Catholic |
| Occupation | Hospital attndt. |
| Address | 19 King Street, South Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Ellen Teresa White care Mrs J White, Tate (H), Botanical Gardens, South Yarra, Victoria |
| Enlistment date | 1 April 1916 |
| Date of enlistment from Nominal Roll | 17 April 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 15 April 1918 |
