| Regimental number | 2621 |
| Place of birth | Malmsbury, Victoria |
| Religion | Roman Catholic |
| Occupation | Baker |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Friend, Mrs Bridget Hearn, Clyde Street, North Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 29th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
