| Regimental number | 4257 |
| Place of birth | Lismore New South Wales |
| Religion | Roman Catholic |
| Occupation | Butcher |
| Address | Lismore, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Ida May Cusack, South Kyogle PO, South Kyogle, Richmond River, New South Wales |
| Enlistment date | 3 September 1915 |
| Date of enlistment from Nominal Roll | 16 February 1916 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia 4 May 1917 |
