| Regimental number | 6979 |
| Place of birth | Hobart, Tasmania |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Franklin, Tasmania |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs M Stacey, Nubeena, Tasmania |
| Enlistment date | 25 November 1916 |
| Date of enlistment from Nominal Roll | 23 November 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 22 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 25 January 1919 |
