| Regimental number | 3783 |
| Place of birth | Kempsey New South Wales |
| Religion | Roman Catholic |
| Occupation | Shorthand writer |
| Address | 23 Endeavour Road, Daceyville, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs K T Burrell, 23 Endeavour Road, Daceyville, Sydney, New South Wales |
| Enlistment date | 26 August 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 19 October 1917 |
