| Regimental number | 4764 |
| Place of birth | Balranald New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Inglewood, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Lena Beresford, Brook Street, Inglewood, Victoria |
| Enlistment date | 27 January 1917 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/46/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Corps School |
| Fate | Returned to Australia 23 July 1919 |
