| Regimental number | 4650 |
| Place of birth | Waratah, Tasmania |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | King Street, West Burnie, Tasmania |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Mr J Close, King Street, West Burnie, Tasmania |
| Enlistment date | 29 September 1915 |
| Date of enlistment from Nominal Roll | 29 September 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 8 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 27 July 1917 |