| Regimental number | 5360 |
| Place of birth | Gunning New South Wales |
| Religion | Roman Catholic |
| Occupation | Station hand |
| Address | PO, Grenfell, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | friend, Mrs R A Hildon, Wagga, New South Wales |
| Enlistment date | 5 January 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 26 September 1917 |
