| Regimental number | 5804 |
| Place of birth | Eidsvold Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Gladstone, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Lettie Callanan, Littlemore Siding, Gladstone, Boyne Valley Line, Queensland |
| Enlistment date | 7 June 1916 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/42/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 21 July 1917 |
