| Regimental number | 12324 |
| Place of birth | Bundaberg Queensland |
| Religion | Roman Catholic |
| Occupation | Baker |
| Address | Underwood Street, Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Mother, Mrs E Fern, 171 Underwood Street, Paddington, New South Wales |
| Enlistment date | 3 April 1916 |
| Rank on enlistment | Private |
| Unit name | Army Service Corps Reinforcement 19 |
| AWM Embarkation Roll number | 25/105/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 12 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Bakery |
| Fate | Returned to Australia 6 September 1919 |
