| Regimental number | 1691 |
| Place of birth | France |
| Religion | Roman Catholic |
| Occupation | Horse breaker |
| Address | Bellbin Estate, North Manly, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Marie Cook, 16 Pine Street, Manly, New South Wales |
| Enlistment date | 1 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/6/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 23 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 21 November 1916 |
| Other details | Medals: 1914-15 Star, British War Medal, Victory Medal |
