| Regimental number | 2787 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Quarryman |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Margaret Carroll, 8 Marlborough Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | 7 August 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, Reinforcement 5 |
| AWM Embarkation Roll number | 14/15/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Pioneer Battalion |
| Fate | Returned to Australia 22 July 1917 |
