| Regimental number | 6776 |
| Place of birth | Grafton New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Clarence River, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother |
| Enlistment date | 23 April 1917 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 19 June 1919 |
