| Regimental number | 5042 |
| Place of birth | Parkes New South Wales |
| Religion | Roman Catholic |
| Occupation | Mill hand |
| Address | Donnybrook, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs J J Amiott, Donnybrook, Western Australia |
| Enlistment date | 13 January 1916 |
| Date of enlistment from Nominal Roll | 13 February 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 14th Light Horse Regiment |
| Fate | Returned to Australia 24 July 1919 |
