| Regimental number | 5711 |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs G Bruin, 170 West Street, North Sydney, New South Wales |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Tunnelling Companies |
| Fate | Returned to Australia 25 August 1917 |
