| Regimental number | 5717 |
| Place of birth | New South Wales |
| Religion | Roman Catholic |
| Occupation | Painter |
| Address | Troy Street, West Guildford, Western Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Rosana Ford, Troy Street, West Guildford, Western Australia |
| Enlistment date | 16 March 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/33/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A48 Seang Bee on 18 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 5 November 1917 |
