| Regimental number | 6721 |
| Place of birth | Gippsland, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 29 Regent Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Friend, Mr J Foran, 1 Cardigan Street, Glebe, Sydney, New South Wales |
| Enlistment date | 17 July 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 6 July 1919 |
