| Regimental number | 5072 |
| Place of birth | Charters Towers Queensland |
| Religion | Roman Catholic |
| Occupation | Striker |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Miss C Costello, Railway Terrace, Milton, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star Of Victoria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
