| Regimental number | 40 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 12 Henry Street, Wickham, Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Gladys Pearl Camseoloise, 109 off Charlston Street, Wickham, Newcastle, New South Wales |
| Enlistment date | 20 November 1915 |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, A Company |
| AWM Embarkation Roll number | 23/52/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 1 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 10 April 1919 |
