| Regimental number | 3136 |
| Place of birth | Ipswich Queensland |
| Religion | Roman Catholic |
| Occupation | Butcher |
| Address | Young, New South Wales |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs Annie Devereaux, c/o Mrs Jarivs, Lane Cove Road, St Leonards, New South Wales |
| Enlistment date | 12 September 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/72/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 6 June 1918 |
