| Regimental number | 3011 |
| Place of birth | Cowarr Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | c/o H Emerson, Tooma Station, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Cutting, Austin Street, Newtown, Geelong, Victoria |
| Enlistment date | 26 March 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Field Ambulance |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 31 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia 5 April 1918 |
