| Regimental number | 7222 |
| Place of birth | Berrumbroke Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Torquay, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs M Coots, Torquay, Victoria |
| Enlistment date | 24 October 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 24th Reinforcement |
| AWM Embarkation Roll number | 23/22/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 26 September 1917 |
