| Regimental number | 7169 |
| Place of birth | Samoa Pacific Islands |
| Religion | Roman Catholic |
| Occupation | Steward |
| Address | Rozelle, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Friend, Mrs E Jones, 15 Perrett Street, Rozelle, Sydney, New South Wales |
| Enlistment date | 7 September 1917 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 8 January 1919 |
