| Regimental number | 3626 |
| Religion | Roman Catholic |
| Occupation | Timber merchant |
| Address | Carisbrook, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Eileen de Coque, Burns Bay Road, Longueville, New South Wales |
| Enlistment date | 16 July 1917 |
| Date of enlistment from Nominal Roll | 4 July 1917 |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/73/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 19 October 1918 |