| Regimental number | 10030 |
| Place of birth | Junee New South Wales |
| Religion | Roman Catholic |
| Occupation | Waiter |
| Address | Collins Street, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Mary Elizabeth Hall, 18 Railway Cottage, Harden, New South Wales |
| Enlistment date | 6 July 1915 |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 6, Field Ambulance 6, Reinforcement 11 |
| AWM Embarkation Roll number | 26/49/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 30 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Australian General Hospital |
| Fate | Returned to Australia 18 July 1919 |
