| Regimental number | 3617 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 27 Stanley Street, South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Sister, Mrs Ellen Bradshaw, 30 Watchyard Lane, Formby, Liverpool, England |
| Enlistment date | 21 February 1917 |
| Rank on enlistment | Private |
| Unit name | 47th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/64/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A28 Miltiades on 2 August 1917 |
| Regimental number from Nominal Roll | 3617A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia 10 April 1919 |