| Regimental number | 5790 |
| Religion | Roman Catholic |
| Occupation | Packer |
| Address | 114 Catherine Street, Leichhardt, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister-in-Law, Letitia Dubos, 114 Catherine Street, Leichhardt, New South Wales |
| Enlistment date | 21 June 1916 |
| Date of enlistment from Nominal Roll | 7 June 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/35/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 31 October 1917 |
