| Regimental number | 1940 |
| Place of birth | Bega New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Winterville PO, Cassilis, Victoria |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Ethel May Fairman, Yarra Junction, Victoria |
| Enlistment date | 28 January 1916 |
| Date of enlistment from Nominal Roll | 26 May 1916 |
| Rank on enlistment | Private |
| Unit name | 37th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/54/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 37th Battalion |
| Fate | Returned to Australia 5 April 1918 |
| Date of death | 28 August 1954 |
| Place of burial | Fawkner Cemetery |
