| Regimental number | 14636 |
| Place of birth | Magill South Australia |
| Religion | Roman Catholic |
| Occupation | Motor mechanic |
| Address | Magill, South Australia |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Evelyn Veronica Cosgrove, 33 William Street, Norwood, South Australia |
| Enlistment date | 21 March 1916 |
| Rank on enlistment | Motor Transport Driver |
| Unit name | Company 300,Reinforcement May 1917 |
| AWM Embarkation Roll number | 25/99/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Returned to Australia 24 August 1918 |
