| Regimental number | 3540 |
| Place of birth | Rockhampton Queensland |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Mother, Mrs C T Tomi, 142 Alma Lane, Rockhampton, Queensland |
| Enlistment date | 19 June 1917 |
| Date of enlistment from Nominal Roll | 19 June 1917 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/58/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on 2 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 29 August 1918 |