| Regimental number | 3804 |
| Religion | Roman Catholic |
| Occupation | Barman |
| Address | 25 Faucart Street, Rozelle, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs C Gorman, Glenaf, Akerlow, Tipperary, Ireland |
| Enlistment date | 13 October 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
