| Regimental number | 3165 |
| Place of birth | Geelong Victoria |
| Religion | Roman Catholic |
| Occupation | Platelayer |
| Address | 23 York Street, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs V Martin, 41 Marion Street, Fitzroy, Victoria |
| Enlistment date | 16 July 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on 29 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 18 January 1919 |
