| Regimental number | 20081 |
| Place of birth | Southport Queensland |
| Religion | Roman Catholic |
| Occupation | Packer |
| Address | Drummoyne, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs J Hubbard, 16 Sherry Street, Drummoyne, New South Wales |
| Enlistment date | 30 November 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Division Sanitation Section |
| Fate | Returned to Australia 1 August 1919 |