| Regimental number | 3111 |
| Place of birth | Wellington New South Wales |
| Religion | Roman Catholic |
| Occupation | Commercial traveller |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Aunt, Mrs Elizabeth Forlonge, 'Ravensbourne', Liverpool Road, Enfield, New South Wales |
| Enlistment date | 11 September 1916 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 23 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 23 May 1917 |
