| Regimental number | 15017 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | Port Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs F O'Reilly, 69 Spring Street, Port Melbourne, Victoria |
| Enlistment date | 18 December 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 6, Reinforcement 5 |
| AWM Embarkation Roll number | 13/34/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Field Artillery Brigade |
| Fate | Returned to Australia 21 December 1918 |