| Regimental number | 4169 |
| Place of birth | Foortscray, Victoria |
| Religion | Roman Catholic |
| Occupation | Slaughterman |
| Address | 40 Ryan Street, Footscray, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs J Cass, 40 Ryan Street, Footscray, Victoria |
| Enlistment date | 16 July 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 29 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia 4 May 1917 |