| Regimental number | 110 |
| Place of birth | Malcha Road New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Guyra, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs N Lavis, Guyra, New South Wales |
| Enlistment date | 10 December 1915 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, A Company |
| AWM Embarkation Roll number | 23/50/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 4 May 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 17 December 1918 |
