| Regimental number | 18213 |
| Place of birth | Goulburn New South Wales |
| Religion | Roman Catholic |
| Occupation | Bootmaker |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Edna Burnett, 2 Wills Crescent, Daceyville, New South Wales |
| Enlistment date | 29 January 1917 |
| Rank on enlistment | Sapper |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A28 Miltiades on 2 August 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 10th Field Company Engineers |
| Fate | Returned to Australia 20 May 1919 |