| Regimental number | 3396 |
| Place of birth | Mudgee New South Wales |
| Religion | Roman Catholic |
| Occupation | Railway porter |
| Address | Market Street, Mudgee, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, William Casimir, Market Street, Mudgee, New South Wales |
| Enlistment date | 6 October 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/72/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 5 September 1919 |
