| Regimental number | 6291 |
| Place of birth | Bendigo Vic |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Catherine Reef Hotel, Eaglehawk, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Mrs M Kelly, Catherine Reef Hotel, Eaglehawk, Victoria |
| Enlistment date | 10 February 1916 |
| Date of enlistment from Nominal Roll | 1 May 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 11 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 12 May 1919 |
