| Regimental number | 1637 |
| Place of birth | Wauchope New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Wauchope, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Mary Frances O'Doherty, Wauchope, New South Wales |
| Enlistment date | 15 February 1916 |
| Rank on enlistment | Private |
| Unit name | 34th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/51/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 2 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 23 May 1916 |
