| Regimental number | 4171 |
| Religion | Roman Catholic |
| Occupation | Ganger |
| Address | C/o Mrs Hazelbush, Bridge Street, Stanmore, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs R L De Burren, C/o Mrs Hazelbush, Bridge Street, Stanmore, Sydney, New South Wales |
| Enlistment date | 10 August 1915 |
| Date of enlistment from Nominal Roll | 10 August 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Regimental number from Nominal Roll | 4171C |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 4 May 1917 |
