| Regimental number | 67A |
| Place of birth | Warrnambool, Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Warrnambool, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs L Carey, Timor Street, Warrnambool, Victoria |
| Enlistment date | 27 April 1915 |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Auxiliary Hospital |
| Fate | Returned to Australia 10 June 1916 |
