| Regimental number | 7895 |
| Place of birth | Mount Gambier, South Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Carlton, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs A M Derby, 25 Kay Street, Carlton, Victoria |
| Enlistment date | 3 June 1917 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies (Sept 1916 - Feb 1918 Reinf) |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia 16 January 1919 |