| Regimental number | 11991 |
| Place of birth | Port Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 96 Barkley Street, East Brunswick, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs L A Russell, 96 Barkley Street, East Brunswick, Victoria |
| Enlistment date | 8 July 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 1, Reinforcement 14 |
| AWM Embarkation Roll number | 25/89/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 5 May 1919 |
