| Regimental number | 5396 |
| Place of birth | Granville New South Wales |
| Religion | Roman Catholic |
| Occupation | Machinist |
| Address | Denichy Street, Clyde, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs B Kearney, Denichy Street, Clyde, New South Wales |
| Enlistment date | 17 January 1916 |
| Date of enlistment from Nominal Roll | 19 January 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 12 May 1919 |
