| Regimental number | 2017 |
| Place of birth | Benalla Victoria |
| Religion | Roman Catholic |
| Occupation | Saddler |
| Address | Benalla, Victoria |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Elizabeth Willis, Albury PO, Albury, New South Wales |
| Enlistment date | 1 September 1915 |
| Rank on enlistment | Private |
| Unit name | 46th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/63/3 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Company, Australian Army Service Corps |
| Fate | Returned to Australia 21 March 1917 |