| Regimental number | 30763 |
| Place of birth | Williams Western Australia |
| Religion | Roman Catholic |
| Occupation | Farm labourer |
| Address | Wagin East, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs I Stagbower, Marradong, Williams, Western Australia |
| Enlistment date | 3 May 1916 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 10, Reinforcement 8 |
| AWM Embarkation Roll number | 13/37/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Driver |
| Fate | Returned to Australia 1 June 1919 |
| Miscellaneous details (Nominal Roll) | 3rd Divisional Ammunition Column |
