| Regimental number | 58763 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Darlinghurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Aunt, Mrs Alice Cassidy, 61 Burton Street, Darlinghurst, New South Wales |
| Enlistment date | 20 May 1918 |
| Date of enlistment from Nominal Roll | 24 November 1915 |
| Rank on enlistment | CQMS |
| Unit name | 10th General Service (NSW) Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia 21 March 1919 |
