| Regimental number | 3696 |
| Place of birth | Fremantle Western Australia |
| Religion | Roman Catholic |
| Occupation | Soldier |
| Address | 155 King Street, East Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs M E McCarthy, 155 King Street, East Fremantle, Western Australia |
| Enlistment date | 7 October 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Mongolia on 22 November 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia 24 January 1918 |
| Miscellaneous details (Nominal Roll) | *given name is Justin |
