| Regimental number | 5460 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Fettler |
| Address | 21 Albert Street, Erskineville, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs E Shortis, 21 Albert Street, Erskineville, Sydney, New South Wales |
| Enlistment date | 28 February 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 4 May 1917 |
