| Regimental number | 61847 |
| Place of birth | Melbourne, Victoria |
| Religion | Presbyterian |
| Occupation | Driver |
| Address | 68 Gwynne Street, South Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs N O'Brien, 68 Gwynne Street, South Richmond, Victoria |
| Enlistment date | 14 June 1918 |
| Rank on enlistment | Private |
| Unit name | 13th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Zealandic on 5 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 28 August 1919 |
