| Regimental number | 1190 |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Portland, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Mrs M Cox, Roslyn Street, Mascot, Sydney, New South Wales |
| Enlistment date | 24 April 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 2 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 10 March 1918 |