| Regimental number | 11637 |
| Place of birth | Mittagong New South Wales |
| Religion | Church of England |
| Occupation | Painter |
| Address | 118 Underwood Street, Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs S Bannon, 118 Underwood Street, Paddington, New South Wales |
| Enlistment date | 24 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 2, Reinforcement 3 |
| AWM Embarkation Roll number | 25/90/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 20 May 1919 |
