| Regimental number | 5121 |
| Place of birth | Jumbunna Victoria |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Learmonth, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, M Jenson, Convent of Good Shepherd, Abbotsford, Victoria |
| Enlistment date | 21 February 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 31 March 1919 |
