| Regimental number | 4053 |
| Place of birth | Melbourne, Victoria |
| Religion | Roman Catholic |
| Occupation | Tobacco worker |
| Address | 165 Ferrars Street, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Aunt, Mrs Francis Andrews, 165 Ferrars Street, South Melbourne, Victoria |
| Enlistment date | 8 January 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 29 May 1919 |
