| Regimental number | 3696 |
| Religion | Roman Catholic |
| Occupation | Crane Driver |
| Address | Ingall Street, Mayfield, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs Freda Vaughan, Ingall Street, Mayfield, Newcastle, New South Wales |
| Enlistment date | 18 April 1917 |
| Date of enlistment from Nominal Roll | 18 April 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 33rd Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Regimental number from Nominal Roll | R3696 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Light Horse Field Ambulance |
| Fate | Returned to Australia 14 March 1919 |
| Date of death | 30 January 1964 |
| Place of burial | Rookwood Necropolis |
