| Regimental number | 12261 |
| Place of birth | Carlton, Victoria |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | 11 Fulton Street, East St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Honora Cody, 11 Fulton Street, East St Kilda, Victoria |
| Enlistment date | 26 February 1916 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 10 |
| AWM Embarkation Roll number | 26/53/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 20 June 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia 18 January 1919 |
