| Regimental number | 6752 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Bulimba Street, Bulimba, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs M Dougherty, Bulimba Street, Bulimba, Brisbane, Queensland |
| Enlistment date | 20 October 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 19 June 1919 |
