| Regimental number | 5055 |
| Place of birth | Croydon Queensland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs M A Medlik, Jubilee Lane, Cairns, Queensland |
| Enlistment date | 28 September 1917 |
| Date of enlistment from Nominal Roll | 28 September 1917 |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 22 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 12 July 1919 |
