| Regimental number | 5416 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Carter |
| Address | 35 Haybury Street, North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs A McMahon, 35 Haybury Street, North Sydney, New South Wales |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 8 January 1919 |
