| Regimental number | 19136 |
| Place of birth | South Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Mail carrier |
| Address | Oakleigh, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs E Cunliffe, Rugby Road, Oakleigh, Victoria |
| Enlistment date | 29 March 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, September 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 2 February 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 2 August 1919 |
