| Regimental number | 7040 |
| Place of birth | Boggabilla New South Wales |
| Religion | Roman Catholic |
| Occupation | Electrical mechanic |
| Address | Camperdown, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs J Emerson, 25 Kingston Road, Camperdown, Sydney, New South Wales |
| Enlistment date | 22 July 1917 |
| Date of enlistment from Nominal Roll | 22 July 1917 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 19 August 1919 |
