| Regimental number | 517 |
| Place of birth | Brisbane Queensland |
| Religion | Baptist |
| Occupation | Boilermaker |
| Address | Inter Street, Burnside Estate, Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Kate Tacey, Inter Street, Burnside Estate, Toowoomba, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 11, Reinforcement 7 |
| AWM Embarkation Roll number | 24/16/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |