| Regimental number | 4495 |
| Place of birth | Cowra New South Wales |
| Religion | Roman Catholic |
| Occupation | Carpenter |
| Address | Chatswood, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister, Mrs A Bance, Watertank, Chatswood, New South Wales |
| Enlistment date | 5 October 1915 |
| Date of enlistment from Nominal Roll | 9 October 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 21 April 1918 |
