| Regimental number | 6797 |
| Place of birth | Fremantle, Western Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Mary Coates, 9 Bannister Street, Fremantle, Western Australia |
| Enlistment date | 7 February 1917 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 1 February 1918 |
