| Regimental number | 630 |
| Place of birth | Bundaberg Queensland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | c/o Mrs R Fairon, Charlotte Street, Paddington, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs R Fairon, Charlotte Street, Paddington, Brisbane, Queensland |
| Enlistment date | 9 March 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, C Company |
| AWM Embarkation Roll number | 23/42/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A60 Aeneas on 29 June 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 14 December 1918 |
