| Regimental number | 6711 |
| Place of birth | Melbourne, Victoria |
| Religion | Roman Catholic |
| Occupation | Waiter |
| Address | Model Lodging House, Kent Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Friend, Miss Goodwin, Victoria Chambers, Elizabeth Street, Sydney, New South Wales |
| Enlistment date | 2 August 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 16 July 1919 |