| Regimental number | 5365 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Stevedore |
| Address | Floodgate Hotel, Port Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister, Mrs McGibbney, 153 Moorabool Street, Geelong, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 109 Date: |
| Date of death | |
| Place of burial | Fawkner Cemetery |