| Regimental number | 6969 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Moulder |
| Address | 109 Campbell Street, Newtown, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Sarah Ann Butler, 109 Campbell Street, Newtown, Sydney, New South Wales |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | 1st Field Company Engineers, Reinforcement 16 |
| AWM Embarkation Roll number | 14/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Makarina on 1 April 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 18 January 1919 |
