| Regimental number | 6121 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Navvy |
| Address | Cooper Street, Waterloo, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M Whitmore, Cooper Street, Waterloo, New South Wales |
| Enlistment date | 18 September 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 24 December 1918 |
