| Regimental number | 3863 |
| Place of birth | Parramatta New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Bathurst Street, Condoblin, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Friend, M Roberts, Bathurst Street, Condoblin, New South Wales |
| Enlistment date | 12 October 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 30 January 1918 |
