| Regimental number | 2058 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Butcher |
| Address | Geraldton, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Brother, George Norman, Northampton, Western Australia |
| Enlistment date | 15 November 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A69 Warilda on 16 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | AIF Canteens |
| Fate | Returned to Australia 15 March 1919 |
