| Regimental number | 6456 |
| Place of birth | Mudgee New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Albert Street, Homebush, Sydney, New South Wales |
| Marital status | Widower |
| Age at embarkation | 40 |
| Next of kin | Mother, Mrs M Andrews, Raglan Street, Manly, New South Wales |
| Enlistment date | 12 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 12 November 1916 |
