| Regimental number | 3376 |
| Religion | Roman Catholic |
| Occupation | Hairdresser |
| Address | Moonee Ponds, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Mrs W Besanko, Ascot Vale Road, Moonee Ponds, Victoria |
| Enlistment date | 5 June 1917 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/75/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on 16 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 4 December 1918 |
