| Regimental number | 2604 |
| Place of birth | Fremantle Western Australia |
| Religion | Roman Catholic |
| Occupation | Bridge labourer |
| Address | Orbost, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Friend, Jack Goddard, 179 Fenwick Street, North Carlton, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/40/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Recommendations (Medals and Awards) |
Special Mention in Corps Orders Recommendation date: |
| Fate | Returned to Australia |