| Regimental number | 4810 |
| Place of birth | Cullenswood |
| Religion | Roman Catholic |
| Occupation | Coal miner |
| Address | St Mary's, Tasmania |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs L Cooke, St Mary's PO, St Mary's, Tasmania |
| Enlistment date | 1 March 1916 |
| Rank on enlistment | Sapper |
| Unit name | No 4 Tunnelling Company and 1st Reinforcements (May 1916) |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 25 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Tunnelling Company |
| Fate | Returned to Australia 11 May 1919 |
