| Regimental number | 4396 |
| Place of birth | Collingwood, Victoria |
| Religion | Roman Catholic |
| Occupation | Engine driver |
| Address | Foster, Victoria |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Friend, Hannah Rice, Foster, Victoria |
| Enlistment date | 14 January 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 5 July 1916 |
