| Regimental number | 1005 |
| Place of birth | Queanbeyan New South Wales |
| Religion | Roman Catholic |
| Occupation | Hairdresser |
| Address | Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs Hilda Booth, 408 Cleveland Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | 13 August 1915 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, D Company |
| AWM Embarkation Roll number | 23/59/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 5 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 8 August 1918 |