| Regimental number | 4094 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Crotty Street, West Coast, Queenstown, Tasmania |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs Violet Coltheart, Crotty Street, West Coast, Queenstown, Tasmania |
| Enlistment date | 20 December 1915 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps Details |
| Fate | Returned to Australia 6 May 1919 |