| Regimental number | 4020 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 113 Garden Street, Alexandria, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs. E.M. Corkery, 113 Garden Street, Alexandria, Sydney, New South Wales |
| Enlistment date | 15 September 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia 7 June 1918 |