| Regimental number | 5406 |
| Place of birth | Horsham Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Wagga Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Mary Tracey, 82 Highett Street, West Richmond, Melbourne, Victoria |
| Enlistment date | 2 March 1916 |
| Date of enlistment from Nominal Roll | 29 February 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 20 April 1919 |
