| Regimental number | 4691 |
| Place of birth | Laura South Australia |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | Burrought, South Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Friend, Mrs Cecilia Fitz, Ashbrook Avenue, North Norwood, South Australia |
| Enlistment date | 4 February 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A60 Aeneas on 11 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 25 August 1917 |
