| Regimental number | 7207 |
| Place of birth | Broomehill, Western Australia |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Broomehill, Western Australia |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Father, J Annice, Hayfield, Broomehill, Western Australia |
| Enlistment date | 22 November 1916 |
| Date of enlistment from Nominal Roll | 16 October 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 24th Reinforcement |
| AWM Embarkation Roll number | 23/28/5 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT Miltiades on 29 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 25 January 1919 |
