| Regimental number | 2217 |
| Place of birth | West Mead New South Wales |
| Religion | Roman Catholic |
| Occupation | Insurance inspector |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Sister Mary Gertrude, Cabara Convent, Dublin, Ireland |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/10/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia 28 June 1919 |
