| Regimental number | 6310 |
| Place of birth | Nimbin New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Nimbin, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Aunt, Ellen Kelly, Shandon, Molesworth Street, Lismore, New South Wales |
| Enlistment date | 28 September 1916 |
| Date of enlistment from Nominal Roll | 31 October 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/36/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 10 March 1918 |