| Regimental number | 1993 |
| Place of birth | Port Fairy, Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Yambuk via Port Fairy, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Mary Cain, Yambuk via Port Fairy, Victoria |
| Enlistment date | 4 March 1916 |
| Date of enlistment from Nominal Roll | 4 March 1916 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/75/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A31 Ajana on 8 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 4 July 1919 |
