| Regimental number | 2104 |
| Place of birth | Singleton New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Parramatta, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Charlotte Dean, Queen Street, West Mead, Parramatta, New South Wales |
| Enlistment date | 2 December 1916 |
| Date of enlistment from Nominal Roll | 2 November 1916 |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Karmala on 3 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia 20 July 1919 |
