| Regimental number | 17301 |
| Place of birth | Clifton New South Wales |
| Religion | Roman Catholic |
| Occupation | Coal miner |
| Address | 'Avoca', Dora Street, Hurstville, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Annie Devirs, 'Avoca,' Dora Street, Hurstville, New South Wales |
| Enlistment date | 16 February 1917 |
| Rank on enlistment | Sapper |
| Unit name | February 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Mcgillivray on 10 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 27 May 1919 |
