| Regimental number | 2020 |
| Place of birth | Petersburg, South Australia |
| Religion | Roman Catholic |
| Occupation | Butcher |
| Address | Roma, Queensland |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs A E Dollard, c/o Mrs G Taylor, Roma, Queensland |
| Enlistment date | 30 September 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company June 1917, General Reinforcements |
| AWM Embarkation Roll number | 24/36/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 27 May 1919 |
