| Regimental number | 3515 |
| Place of birth | Mullumbimby New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Murwillumbah, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, Mrs R E Cottle, Stoker's Siding, Murwillumbah, New South Wales |
| Enlistment date | 27 December 1917 |
| Date of enlistment from Nominal Roll | 2 December 1917 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/58/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on 2 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 12 July 1918 |
