| Regimental number | 3956 |
| Place of birth | Lake Condah Victoria |
| Religion | SI |
| Occupation | Labourer |
| Address | Mrs Norah Connelly, Milltown PO via Hamilton, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister, Mrs W Clarke, Mission Station, Milltown P.O., Milltown, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Acting Lance Corporal |
| Unit name | 21st Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Died of illness |
| Place of burial | Beauval Communal Cemetery (Row F, Grave No. 21), France |
| Panel number, Roll of Honour, Australian War Memorial | 95 |